John Lee White III, MFT II, CADC II,

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 50897 Issued in CA

Practice address

115 Thompson Ave
Fullerton, CA 92833-2831

Phone

(714) 915-3658

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1083705644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 THOMPSON AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332831",
            "telephone_number": "714-915-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 THOMPSON AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332831",
            "telephone_number": "714-915-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE III",
        "first_name": "JOHN",
        "middle_name": "LEE",
        "credential": "MFT II, CADC II,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 50897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moonkyoung Whang
• Marlina Krystal Wheeler
• Whispering Oaks of Fullerton Hills LLC
• Kathryn Whitaker
• Robert L Whitcomb, PSY.D.
• Alanna Joyce White, BACHELOR OF SCIENCE
• Ashley White
• Lavinte L White
• Stacy Eleanor Whitelock, M.D.
• Mikel Whiting, MD

• Marriage & Family Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.