Cynthia Velerianee White, L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4194 Issued in MD

Practice address

2240 Bridle Path Dr
Waldorf, MD 20601-2944

Phone

(301) 638-0140

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Cynthia Velerianee Jefferson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1023201233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 BRIDLE PATH DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012944",
            "telephone_number": "301-638-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 BRIDLE PATH DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012944",
            "telephone_number": "301-638-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CYNTHIA",
        "middle_name": "VELERIANEE",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58956180",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "JEFFERSON",
            "middle_name": "VELERIANEE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Antonette Michelle Wheeler
• White Plains Primary Care
• White Plains Primary Care
• Bertha White, LCSW-C
• Brent White Jr., D.D.S
• Kenneth Wayne White
• Lauren Ashley White
• Shania White
• Walter Irvin White
• Ivy Wicks, MD

• Professional Counselor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.