Organization Active NPI

K M White Inc

  • Community/Behavioral Health Agency
  • Universal City, TX
National Provider Identifier
1780957019
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW00619 Issued in TX
Legal business name
K M WHITE INC
Practice address
1201 Pat Booker Rd
Universal City, TX 78148-3936
Phone
(210) 658-7337
Fax
(210) 658-7367
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kathleen M. White, MSW. LCSW
Title
Owner
Phone
(210) 658-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW00619 TX Primary

Addresses

Primary practice location

1201 Pat Booker Rd
Universal City, TX 78148-3936

Mailing address

PO Box 2517
Universal City, TX 78148-1517
Phone (210) 658-7337

Other names 1

  • life enrichment services Doing business as

National Provider Directory

National Provider Directory

Locations

1201 Pat Booker Rd
Universal Cty, TX 78148
Phone (210) 658-7337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1780957019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2517",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781481517",
            "telephone_number": "210-658-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PAT BOOKER RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483936",
            "telephone_number": "210-658-7337",
            "fax_number": "210-658-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K M WHITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-658-7337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW. LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "SW00619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "life enrichment services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Universal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.