Keith Douglas White, - Counselor in Lakewood, OH

Keith Douglas White, is a Counselor - Addiction (substance Use Disorder) based in Lakewood, Ohio. Keith Douglas White is licensed to practice in Ohio (license number RN960110) and his current practice location is 12050 Lake Ave Apt 504, Lakewood, Ohio. He can be reached at his office (for appointments etc.) via phone at (216) 231-3772.

NPI number for Keith Douglas White is 1518475268 and his current mailing address is 12050 Lake Ave Apt 504, Lakewood, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518475268.

Contact Information

Keith Douglas White,
12050 Lake Ave Apt 504,
Lakewood, OH 44107-1872
(216) 231-3772
(216) 231-3772

Map and Direction


Healthcare Provider's Profile

Full NameKeith Douglas White
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location12050 Lake Ave Apt 504, Lakewood, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518475268
  • Provider Enumeration Date: 01/16/2018
  • Last Update Date: 01/16/2018

Medical Identifiers

Medical identifiers for Keith Douglas White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518475268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) RN960110 (Ohio)Primary

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. Keith Douglas White is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith Douglas White,
12050 Lake Ave Apt 504,
Lakewood, OH 44107-1872

Ph: (216) 231-3772
Keith Douglas White,
12050 Lake Ave Apt 504,
Lakewood, OH 44107-1872

Ph: (216) 231-3772

Reviews and Comments


Counselor in Lakewood, OH

Steven Grauel,
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Jessica Zielinski,
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Dr. Megan Marie Seaman, PHD, LPC, NCC, RYT
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Lauren Ferns, CT
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Phone: 216-202-4286    
Kendall Smith, QMHS
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Karen Ann Kazsmer, M.A., LPCC
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Medicare: Medicare Enrolled
Practice Location: 15522 Madison Ave, Lakewood, OH 44107
Phone: 216-544-4840    Fax: 440-793-2099
Anna Mytko,
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Medicare: Not Enrolled in Medicare
Practice Location: 1513 Mars Ave, Lakewood, OH 44107
Phone: 216-202-5196    

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