Active NPI
Adrian Ronald Magnuson-Whyte, LMHC
- Mental Health Counselor
- Shelton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH000090982
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH000090982 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Professionals, LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.