Individual provider Active NPI

Eric Stephen Whitley, APCC

  • Professional Counselor
  • Stockton, CA
National Provider Identifier
1073460267
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17444 Issued in CA
Practice address
2725 Michigan Ave
Stockton, CA 95204-2636
Phone
(209) 933-7170
NPI assigned
Mar 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 17444 CA Primary

Addresses

Primary practice location

2725 Michigan Ave
Stockton, CA 95204-2636

Mailing address

245 N Loma Dr
Lodi, CA 95242-2525
Phone (415) 463-0008

Other practice location 1

1141 Lever Blvd
Stockton, CA 95206-2855
Phone (209) 983-7687

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

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1073460267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N LOMA DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422525",
            "telephone_number": "415-463-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 MICHIGAN AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952042636",
            "telephone_number": "209-933-7170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Lever Blvd",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952062855",
            "country_code": "US",
            "telephone_number": "209-983-7687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "ERIC",
        "middle_name": "STEPHEN",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "17444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.