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CHARLIE WHITE LMHC
NPI 1114490331
Counselor - Mental Health in Cedar Rapids, IA

Active since January 10, 2019PECOS Enrolled
2720 1ST AVE NE STE 300, CEDAR RAPIDS, IA 52402(319) 200-5104(319) 200-2516 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charlie White Lmhc NPPES

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

CHARLIE WHITE LMHC (NPI 1114490331) is an individual mental health provider in Cedar Rapids, Iowa, licensed in Iowa (087660) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114490331
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLIE WHITECredential: LMHC
Location Address2720 1ST AVE NE STE 300Cedar Rapids, IA 52402-4832
Mailing Address2720 1st Ave Ne Ste 300Cedar Rapids, IA 52402-4832
Phone(319) 200-5104
Fax(319) 200-2516
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 10, 2019
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1114490331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 087660
2720 1ST AVE NE STE 300, Cedar Rapids, IA 52402
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlie White Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719443415
PECOS Enrollment IDI20260803001834
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 Charlie White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Family Solutions, LLC
Same address
Community/Behavioral Health
2720 1ST AVE NE STE 300
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • 13 clinicians in this Medicare group
NPI 1407295280 (888) 336-9661

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 6

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

LILLIAN BUSCHETTE LMSW
Social Worker
2720 1ST AVE NE STE 300
CEDAR RAPIDS, IA 52402
Linn County (319) 200-5104
NINA E SLAIKEU LMSW
Social Worker
2720 1ST AVE NE STE 300
CEDAR RAPIDS, IA 52402
Linn County (319) 883-6895
LAUREN TOPINKA LMSW
Counselor (Mental Health)
2720 1ST AVE NE STE 300
CEDAR RAPIDS, IA 52402
Linn County (319) 200-5104
COVENANT FAMILY SOLUTIONS, LLC
Community/Behavioral Health
2720 1ST AVE NE STE 300
CEDAR RAPIDS, IA 52402
Linn County (888) 336-9661
BENJAMIN MICHAEL DAVIS LMSW
Social Worker
2720 1ST AVE NE STE 300
CEDAR RAPIDS, IA 52402
Linn County (319) 200-5120
SKYLAR RAYNE DOSSEY LMSW
Social Worker
2720 1ST AVE NE STE 300
CEDAR RAPIDS, IA 52402
Linn County (319) 200-5104

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 Charlie White's NPI number?

The NPI number for Charlie White is 1114490331. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Where is Charlie White located?

Charlie White practices at 2720 1st Ave NE Ste 300, Cedar Rapids, IA 52402. The listed phone number is (319) 200-5104.

What is Charlie White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charlie White enrolled in Medicare?

Yes. Charlie White is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charlie White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlie White reassigns Medicare benefits to Covenant Family Solutions, LLC (Cedar Rapids, IA). 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 Charlie White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlie White accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 3 other insurers list Charlie 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 Charlie White was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.