Wanda White, RN/COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1943 Issued in AL

Practice address

530 Hornady Dr
Monroeville, AL 36460-8658

Phone

(251) 575-4837

Fax

(251) 575-5266

NPI assigned

Sep 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Alabama Behavioral Health Care Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroeville, AL
  • NPI 1881628162
  NPD (past)
• Southwest Alabama Mental Health

  • Community/Behavioral Health Agency
  • Monroeville, AL
  • NPI 1336337500
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1033304407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 COUNTY ROAD 5",
            "city": "REPTON",
            "state": "AL",
            "postal_code": "364758910",
            "telephone_number": "251-743-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HORNADY DR",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364608658",
            "telephone_number": "251-575-4837",
            "fax_number": "251-575-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WANDA",
        "name_prefix": "Ms.",
        "credential": "RN/COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio D Washington, MS
• Lavonna Watson
• Perry Watson
• Wendy Michele West, R.N.
• Brian White, MS
• Robert Charles Will, LPC
• Brittany Nicole Williams, PHARMD
• Mildred Joyce Wilson
• Noel Gulsby Wooten, DMD
• Wyko LLC

• Mental Health Counselor in Monroeville, AL
• Providers in Monroeville, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.