Individual provider Active NPI

Chelsie Kay White, M.S. LPC

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1801079165
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C7777 Issued in OR
Practice address
2400 NW Kings Blvd
Corvallis, OR 97330-3900
Phone
(541) 757-2400
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R7209 OR
Mental Health Counselor 101YM0800X C7777 OR Primary

Addresses

Primary practice location

2400 NW Kings Blvd
Corvallis, OR 97330-3900

Mailing address

2400 NW Kings Blvd
Corvallis, OR 97330-3900
Phone (541) 757-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307003359 OR Practitioner - Mental Health Counselor 4981040391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corvallis Family Medicine PCGroup PAC ID 8820989700, 12 clinicians

Practice addresses (Care Compare)

2400 NW Kings Blvd
Corvallis, OR 97330-3900
Phone 5417572400108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C7777ORMDMental Health Counselor
R7209ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Corvallis Family Medicine PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2400 NW Kings Blvd
Corvallis, OR 97330
Phone (541) 757-2400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDACAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1801079165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303900",
            "telephone_number": "541-757-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303900",
            "telephone_number": "541-757-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHELSIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S. LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7209",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.