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

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: November 01, 2026.

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

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 Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Shawn White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Substance Abuse Solutions LLC
98 mi
Psychiatric/Mental Health
1507 SPRING ST
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Kentucky enrollment
  • 25 clinicians in this Medicare group
NPI 1124598669 (833) 525-3727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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
MRS. JEAN STODGHILL APRN
Nurse Practitioner (Psychiatric/Mental Health)
1143 FAIRWAY STREET, SUITE 103
BOWLING GREEN, KY 42103
Warren County (812) 901-6881

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.

Which organization bills Medicare for Shawn White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn White reassigns Medicare benefits to Lake Substance Abuse Solutions LLC (Jeffersonville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn White accept?

Health plans from Anthem Blue Cross and Blue Shield 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.