Organization Active NPI

Makael White PLLC

  • Marriage & Family Therapist
  • Longview, WA
National Provider Identifier
1932939675
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MAKAEL WHITE PLLC
Practice address
447 25TH Ave
Longview, WA 98632-1321
Phone
(206) 348-9385
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Makael Lee White, LMFT, ATR - BCNPI 1326772989
Title
Relational Art Therapist/Owner
Phone
(253) 290-3762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X

Addresses

Primary practice location

447 25TH Ave
Longview, WA 98632-1321

Mailing address

447 25TH Ave
Longview, WA 98632-1321
Phone (206) 348-9385

Other identifiers 1

IdentifierTypeStateIssuer
2250928MedicaidWA

Other names 1

  • Sirona & Sage Healing Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1932939675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 25TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321321",
            "telephone_number": "206-348-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 25TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321321",
            "telephone_number": "206-348-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKAEL WHITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MAKAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RELATIONAL ART THERAPIST/OWNER",
        "authorized_official_telephone_number": "253-290-3762",
        "authorized_official_credential": "LMFT, ATR - BC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2250928",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sirona & Sage Healing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sirona & Sage Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.