Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawn White, LPCC

Individual provider Professional Counselor · NPI 1073016903

Shawn White, LPCC is a Mental Health Counselor in Bowling Green, Kentucky. Qualified in 2017, 9 years ago. Practices with Lake Substance Abuse Solutions LLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2018
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Phone: (407) 347-4536
Fax: (812) 285-8392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 264171 (KY)

Record details

NPI number1073016903
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedMarch 16, 2018
Last updated in NPPESJanuary 18, 2024
Certification dateJune 24, 2020
Mailing address1143 Fairway Street, Ste 103, Bowling Green, KY 42103-2452

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lake Substance Abuse Solutions Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bowling Green