Individual provider Active NPI

Karissa Lynn Whitlatch, LPC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1952902298
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-19784 Issued in AZ
Practice address
1845 S Dobson Rd Ste 213
Mesa, AZ 85202-5663
Phone
(480) 702-1444
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-19784 AZ Primary

Addresses

Primary practice location

1845 S Dobson Rd Ste 213
Mesa, AZ 85202-5663

Mailing address

1845 S Dobson Rd Ste 213
Mesa, AZ 85202-5663
Phone (480) 702-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 4, 2024 through Sep 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-19784AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kwhitlatch LLC Mental Health Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1952902298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD STE 213",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025663",
            "telephone_number": "480-702-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD STE 213",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025663",
            "telephone_number": "480-702-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLATCH",
        "first_name": "KARISSA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.