Individual provider Active NPI

Grace White, MA, NCC, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1063984037
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013594 Issued in IL
Practice address
659 W Randolph St Apt 1808
Chicago, IL 60661-2252
Phone
(615) 945-5882
NPI assigned
Jan 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180013594 IL Primary

Addresses

Primary practice location

659 W Randolph St Apt 1808
Chicago, IL 60661-2252

Mailing address

659 W Randolph St Apt 1808
Chicago, IL 60661-2252
Phone (615) 945-5882

Other practice location 1

661 W Lake St Ste 2S
Chicago, IL 60661-1034
Phone (615) 945-5882

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180013594ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
With Grace Counseling PLLC CurrentSince Mar 11, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1063984037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 W RANDOLPH ST APT 1808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612252",
            "telephone_number": "615-945-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 W RANDOLPH ST APT 1808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612252",
            "telephone_number": "615-945-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 W Lake St Ste 2S",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606611034",
            "country_code": "US",
            "telephone_number": "615-945-5882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GRACE",
        "credential": "MA, NCC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-01",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.