Kayla Dominique White, in North Hollywood, CA

Kayla Dominique White, is a medicare enrolled "Counselor - Mental Health" provider in North Hollywood, California. Her current practice location is 6736 Laurel Canyon Blvd Ste 200, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (818) 755-8786.

Kayla Dominique White is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619422953.

Contact Information

	Kayla Dominique White,
	6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576
	(818) 755-8786
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kayla Dominique White
Gender	Female
Speciality	Counselor - Mental Health
Location	6736 Laurel Canyon Blvd Ste 200, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619422953
Provider Enumeration Date: 08/16/2016
Last Update Date: 03/22/2019

Medicare PECOS Information:

PECOS PAC ID: 7315392909
Enrollment ID: I20231017003460

Medical Identifiers

Medical identifiers for Kayla Dominique White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619422953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary
225400000X	Rehabilitation Practitioner	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kayla Dominique White allows following entities to bill medicare on her behalf.

Entity Name	Soultenders Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Dominique White is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kayla Dominique White, 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 Ph: (818) 755-8786	Kayla Dominique White, 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 Ph: (818) 755-8786

Reviews and Comments

Counselor in North Hollywood, CA

Russell Shuben, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, 1 B, North Hollywood, CA 91605 Phone: 818-763-1718 Fax: 818-763-7231
Dolores Estrada, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6736 Laurel Canyon Blvd, North Hollywood, CA 91606 Phone: 818-755-8786
Aria Wainwright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11027 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-985-8323
Johnny Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11027 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-985-8323
Marco Pardo, CATC-IV Counselor Medicare: Not Enrolled in Medicare Practice Location: 11027 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-985-8323 Fax: 818-985-4297
Tyneece Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11027 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-985-8323
Ms. Sherisa Lynnette Dahlgren, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6736 Laurel Canyon Blvd, North Hollywood, CA 91606 Phone: 818-755-8786

Kayla Dominique White, - Medicare Counselor in North Hollywood, CA