Active NPI
Makael White PLLC
- Marriage & Family Therapist
- Longview, WA
National Provider Identifier
1932939675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Makael Lee White, LMFT, ATR - BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Art Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2250928 | Medicaid | WA |
Other names 1
- Sirona & Sage Healing
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Longview, WA
- NPI 1326772989
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.