Individual provider Active NPI

Corrine L White, MFT

  • Marriage & Family Therapist
  • Springfield, OH
National Provider Identifier
1053758797
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2057 S Limestone St
Springfield, OH 45505-4727
Phone
(513) 275-6447
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2057 S Limestone St
Springfield, OH 45505-4727

Mailing address

24 N Hedges St
Dayton, OH 45403-1321
Phone (937) 545-3559

Other identifiers 2

IdentifierTypeStateIssuer
0273714MedicaidOH
1427081470MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106001107 OH Practitioner - Marriage and Family Therapist 4082104252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Group Home LLCGroup PAC ID 7911407903, 36 clinicians

Practice addresses (Care Compare)

7211 N Main St
Suite 5
Dayton, OH 45415-2560
Phone (937) 791-1427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Oct 27, 2025 Accepting new patients
Phoenix Group Home, LLC CurrentSince Oct 27, 2025 Accepting new patients
Darcie R Clark LPCC LLC Mental Health PastSince Jan 1, 2024 Accepting new patients

Locations

306 W Union St
Athens, OH 45701
Phone (740) 764-4529

7211 N Main St
Ste 5
Dayton, OH 45415
Phone (937) 297-2205

2057 S Limestone St
Springfield, OH 45505
Phone (937) 226-9787

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1053758797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N HEDGES ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454031321",
            "telephone_number": "937-545-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455054727",
            "telephone_number": "513-275-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CORRINE",
        "middle_name": "L",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273714",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427081470",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.