SHAWN WHITE LPCC
NPI 1073016903
Counselor - Professional in Bowling Green, KY

Q: What is Shawn White's NPI number?

The NPI number for Shawn White is 1073016903. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Q: What is Shawn White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Shawn White was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2018PECOS EnrolledAccepts Medicare Assignment

1143 FAIRWAY STREET, STE 103, BOWLING GREEN, KY 42103(407) 347-4536(812) 285-8392 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2020, Mar 16, 2018 (2 updates tracked since 2018).

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About Shawn White Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN WHITE LPCC (NPI 1073016903) is an individual professional provider in Bowling Green, Kentucky, licensed in Kentucky (264171) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073016903

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameSHAWN WHITECredential: LPCC

Location Address1143 FAIRWAY STREET, STE 103Bowling Green, KY 42103-2452

Mailing Address1143 Fairway Street, Ste 103Bowling Green, KY 42103-2452 · (407) 347-4536 · Fax (812) 285-8392

Phone(407) 347-4536

Fax(812) 285-8392

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 16, 2018

Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration

NPPES CertifiedJune 24, 2020

✔ NPI 1073016903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 264171

1143 FAIRWAY STREET, Bowling Green, KY 42103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawn White Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052750171

PECOS Enrollment IDI20240422001738

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN KYLE

Counselor (Professional)

1143 FAIRWAY STREET, SUITE 103
BOWLING GREEN, KY 42103

Warren County (812) 901-6881

BRIONNA CEDE NICOLE PIGRAM LCSW

Social Worker (Clinical)

1143 FAIRWAY STREET, SUITE 103
BOWLING GREEN, KY 42103

Warren County (812) 901-6881

JENNIFER DAWN WILLIAMS CSW

Social Worker (Clinical)

1143 FAIRWAY STREET, SUITE 103
BOWLING GREEN, KY 42103

Warren County (407) 347-4536

MRS. MEREDITH A KENDELL-DUNLOW R.N.

Nurse Practitioner (Psychiatric/Mental Health)

1143 FAIRWAY STREET, SUITE 103
BOWLING GREEN, KY 42103

Warren County (208) 292-2188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn White's NPI number?

The NPI number for Shawn White is 1073016903. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Where is Shawn White located?

Shawn White practices at 1143 Fairway Street Ste 103, Bowling Green, KY 42103. The listed phone number is (407) 347-4536.

What is Shawn White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shawn White enrolled in Medicare?

Yes. Shawn White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shawn White accept?

Health plans from Providence Health Plan list Shawn White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawn White was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.