KALEB SHANE WHITWORTH LPCA NPI 1770158990

NPI Information

  • NPI: 1770158990
  • Provider Name: KALEB SHANE WHITWORTH, LPCA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 736 WHITE RD
    PORTLAND, TN
    ZIP 37148
  • Phone: (615) 516-1610

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NPI Details

Kaleb Shane Whitworth, LPCA is a mental health counselor in Portland, TN. Kaleb Shane Whitworth, LPCA NPI is 1770158990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

736 WHITE RD
PORTLAND, TN
ZIP 37148-040
Phone: (615) 516-1610

The enumeration date for this NPI number is 5/20/2021 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health246270Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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