Marie Lynn White, THERAPIST

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

341 Jones Chapel Rd
Collins, MS 39428-5865

Phone

(601) 517-2568

NPI assigned

Nov 11, 2019

Last updated

Nov 11, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Integrity Therapeutic Community Services, LLC

  • Case Management Agency
  • Mount Olive, MS
  • NPI 1245160761
  NPD Authorized official

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1033754304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 JONES CHAPEL RD",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394285865",
            "telephone_number": "601-517-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 JONES CHAPEL RD",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394285865",
            "telephone_number": "601-517-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARIE",
        "middle_name": "LYNN",
        "credential": "THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bpcsmlwhite@yahoo.com",
            "affiliation": "N",
            "address_1": "341 Jones Chapel Rd",
            "city": "Collins",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394285865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Thompson, PCIDDT
• Brook Thornton, CMHT
• Jimmy Allen Walker, O.D.
• Jessica White, LCSW
• Laura Leigh White
• Stephen Caleb Williamson, PHARM.D.
• Ramsey Earl Wilson, D.M.D
• Terrie S Wilson, FNP-C

• Professional Counselor in Collins, MS
• Providers in Collins, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.