Kristin Kelly White, B.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20082 Issued in FL

Practice address

2913 Cypress Bowl Rd
Lutz, FL 33558

Phone

(813) 817-3358

Fax

(813) 971-2915

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kristin Kelly Brosi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1902156102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 CYPRESS BOWL RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33558",
            "telephone_number": "813-817-3358",
            "fax_number": "813-971-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 CYPRESS BOWL RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33558",
            "telephone_number": "813-817-3358",
            "fax_number": "813-971-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KRISTIN",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BROSI",
            "middle_name": "KELLY",
            "prefix": "MISS",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maeghan Whelan
• Ryan P Whelton, MSPT, DPT
• Jillian Whiffen, FNP-C
• Alexandra Jane Whirle, APRN
• Keandra White, MT-BC
• Yolanda N. White, PSYD.
• Nicole Elizabeth Whiting, LM, CPM
• Nicole Monique Whitley, LCSW
• Amanda Whitman, PHARMD, CPH
• Danielle Jean Whittington, LCSW

• All providers in Lutz, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.