Keisha L White, ED.S, NCC,LAPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC007240 Issued in GA

Practice address

500 Lanier Ave W Ste 103B
Fayetteville, GA 30214-7640

Phone

(404) 800-4002

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20101/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1003433558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6873 SLATE STONE WAY SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265433",
            "telephone_number": "404-914-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 103B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147640",
            "telephone_number": "404-800-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEISHA",
        "middle_name": "L",
        "credential": "ED.S, NCC,LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC007240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer David Wenzel
• Janae Crashone Whatley-Flecha, MS, BCBA
• Tameika Denise Wheeler-Hall, D.M.D.
• Lara Book Whitaker, P.T.
• Julian Christopher White, DDS
• Kelvin D. White, M.D.
• Nikel White, MS OTR/L
• Niya White, LCSW
• Robin Lowman White
• Sandra White

• Professional Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.