Individual provider Active NPI

Adrian Ronald Magnuson-Whyte, LMHC

  • Mental Health Counselor
  • Shelton, WA
National Provider Identifier
1881894798
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH000090982 Issued in WA
Practice address
1620 Olympic Hwy N
Mental Health Professionals, LLC
Shelton, WA 98584-3052
Phone
(360) 462-3320
Fax
(360) 930-6887
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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 LH00009082 WA
Mental Health Counselor 101YM0800X LH000090982 WA Primary

Addresses

Primary practice location

1620 Olympic Hwy N
Mental Health Professionals, LLC
Shelton, WA 98584-3052

Mailing address

PO Box 366
Mental Health Professionals, LLC
Hoodsport, WA 98548-0366
Phone (360) 462-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240307000033 WA Practitioner - Mental Health Counselor 4688010101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Professionals, LLCGroup PAC ID 1456572353, 2 clinicians

Practice addresses (Care Compare)

2136 Olympic Hwy N
Shelton, WA 98584-2953
Phone (360) 285-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH000090982WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Professionals, LLC Mental Health CurrentSince Jan 21, 2024 Accepting new patients

Locations

2136 Olympic Hwy N
Shelton, WA 98584
Phone (360) 285-3400

1620 Olympic Hwy N
Shelton, WA 98584
Phone (360) 427-7553

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1881894798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "address_2": "MENTAL HEALTH PROFESSIONALS, LLC",
            "city": "HOODSPORT",
            "state": "WA",
            "postal_code": "985480366",
            "telephone_number": "360-462-3320",
            "fax_number": "360-930-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 OLYMPIC HWY N",
            "address_2": "MENTAL HEALTH PROFESSIONALS, LLC",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843052",
            "telephone_number": "360-462-3320",
            "fax_number": "360-930-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON-WHYTE",
        "first_name": "ADRIAN",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009082",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH000090982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

Verify at the official NPI Registry.