Active NPI
K M White Inc
- Community/Behavioral Health Agency
- Universal City, TX
National Provider Identifier
1780957019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SW00619
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Jber, AK
- NPI 1659385805
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.