Active NPI
Deborah White
- Mental Health Counselor
- Rohnert Park, CA
National Provider Identifier
1093538589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 35361
- Practice address
- 1400 Magnolia Ave
Rohnert Park, CA 94928-8129 - Phone
- (707) 238-2201
- NPI assigned
- Nov 4, 2024
- Last updated
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 35361 | CA | Primary |
Addresses
Primary practice location
1400 Magnolia Ave
Rohnert Park, CA 94928-8129
Mailing address
1400 Magnolia Ave
Rohnert Park, CA 94928-8129
Phone (707) 238-2201
Other practice location 1
8511 Liman Way
Rohnert Park, CA 94928-4686
Phone (707) 238-2201
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": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1093538589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MAGNOLIA AVE",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949288129",
"telephone_number": "707-238-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MAGNOLIA AVE",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949288129",
"telephone_number": "707-238-2201"
}
],
"practiceLocations": [
{
"address_1": "8511 Liman Way",
"address_purpose": "LOCATION",
"city": "Rohnert Park",
"state": "CA",
"postal_code": "949284686",
"country_code": "US",
"telephone_number": "707-238-2201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "35361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.