Individual provider Active NPI

Tenaka White

  • Mental Health Counselor
  • Owings Mills, MD
National Provider Identifier
1801597471
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC16269 Issued in MD
Practice address
10220 S Dolfield Rd Ste 209
Owings Mills, MD 21117-3624
Phone
(410) 805-9513
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC16269 MD Primary

Addresses

Primary practice location

10220 S Dolfield Rd Ste 209
Owings Mills, MD 21117-3624

Mailing address

3918 Lausanne Rd
Randallstown, MD 21133-4512
Phone (410) 805-9513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260602004601 MD Practitioner - Mental Health Counselor 1557832425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3918 Lausanne Rd
Randallstown, MD 21133-4512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC16269MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Indiglow Counseling CurrentSince Mar 20, 2025 Accepting new patients

Locations

10220 S Dolfield Rd
Ste 209
Owings Mills, MD 21117
Phone (410) 773-9607

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1801597471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 LAUSANNE RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334512",
            "telephone_number": "410-805-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 S DOLFIELD RD STE 209",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173624",
            "telephone_number": "410-805-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TENAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCPC16269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.