Meredith R. Whitmore, REGISTERED INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

165 S Main St
Lebanon, OR 97355-4223

Phone

(541) 405-4622

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Breaking Free, LLC

  • Community/Behavioral Health Agency
  • Lebanon, OR
  • NPI 1629575212

  Mental Health

  NPD

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1861015307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S MAIN ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554223",
            "telephone_number": "541-405-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S MAIN ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554223",
            "telephone_number": "541-405-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "MEREDITH",
        "middle_name": "R.",
        "credential": "REGISTERED INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lebanon",
            "affiliation": "N",
            "endpointDescription": "Counseling Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "165 S Main St",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973554223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Western University of Health Sciences (WesternU Patient Care)
• William Whang
• Emily J White, CPM, LDM
• Ronald David Whitelaw
• James Brian Whitmore, QMHA
• Whole Body Health LLC
• Eleanor Ruth Wiggins, MD
• Willamette Manor, Inc
• Martin Jameson Willems
• Aaron Henry Williamson

• Mental Health Counselor in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.