Active NPI
Amy Jo White, L.C.P.C.
- Professional Counselor
- Olney, MD
National Provider Identifier
1063587897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2138
- Practice address
- 2931 Olney Sandy Spring Rd
F
Olney, MD 20832-1527 - Phone
- (301) 775-9661
- Fax
- (301) 830-6862
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2138 | MD | Primary |
Addresses
Primary practice location
2931 Olney Sandy Spring Rd
F
Olney, MD 20832-1527
Mailing address
18209 Leman Lake Dr
508B
Olney, MD 20832-3000
Phone (301) 775-9661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265674 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2138 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy J. White, LCPC & Associates PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Olney, MD
- NPI 1568829620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1063587897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18209 LEMAN LAKE DR",
"address_2": "508B",
"city": "OLNEY",
"state": "MD",
"postal_code": "208323000",
"telephone_number": "301-775-9661",
"fax_number": "301-830-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 OLNEY SANDY SPRING RD",
"address_2": "F",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321527",
"telephone_number": "301-775-9661",
"fax_number": "301-830-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AMY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "L.C.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265674",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.