NPI Code Detail JSON Logo

1689152142 NPI number — ALFRED LEE WHITE MC60763530CP60050044

NPI Number: 1689152142
Health Care Provider/Practitioner: ALFRED LEE WHITE MC60763530CP60050044

Information about “1689152142” NPI (ALFRED LEE WHITE MC60763530CP60050044) exists in 1689152142 in HTML format HTML  |  1689152142 in plain Text format TXT  |  1689152142 in PDF (Portable Document Format) PDF  |  1689152142 in an XML format XML  formats.

NPI Number : 1689152142 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689152142",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITE",
    "FirstName": "ALFRED",
    "MiddleName": "LEE",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MC60763530CP60050044",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1316 S 328TH ST APT W614",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FEDERAL WAY",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98003-6670",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-412-2053",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1316 SO. 328 ST",
    "SecondLinePracticeLocationAddress": "SUITE W614",
    "PracticeLocationAddressCityName": "FEDERAL WAY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-412-2053",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2018",
    "LastUpdateDate": "08/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MC60763530",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "60050044",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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