Individual provider Active NPI

Zachary Karl White

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1861756793
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6917 Donachie Rd Apt C
Baltimore, MD 21239-1111
Phone
(785) 766-3618
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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 Primary

Addresses

Primary practice location

6917 Donachie Rd Apt C
Baltimore, MD 21239-1111

Mailing address

6917 Donachie Rd Apt C
Baltimore, MD 21239-1111
Phone (785) 766-3618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20241226000495 KS Practitioner - Mental Health Counselor 0042747453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Interpersonal Psychiatry LLCGroup PAC ID 9739310343, 15 clinicians

Practice addresses (Care Compare)

1045 E 23Rd St
Lawrence, KS 66046-5003
Phone (785) 393-6167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interpersonal Psychiatry, LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

1045 E 23rd St
Lawrence, KS 66046
Phone (785) 727-0126

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1861756793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 DONACHIE RD APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391111",
            "telephone_number": "785-766-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 DONACHIE RD APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391111",
            "telephone_number": "785-766-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ZACHARY",
        "middle_name": "KARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.