Active NPI
Jay White Counseling LLC
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1104687482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JAY WHITE COUNSELING LLC
- Practice address
- 811 E Washington Ave FL 4
Madison, WI 53703-3688 - Phone
- (608) 469-1417
- NPI assigned
- Jan 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John W White Jr., MSW
- Title
- Owner
- Phone
- (608) 469-1417
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
811 E Washington Ave FL 4
Madison, WI 53703-3688
Mailing address
701 W Olin Ave
Madison, WI 53715-2139
Phone (608) 469-1417
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cromwell, CT
- NPI 1184051146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1104687482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W OLIN AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537152139",
"telephone_number": "608-469-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 E WASHINGTON AVE FL 4",
"city": "MADISON",
"state": "WI",
"postal_code": "537033688",
"telephone_number": "608-469-1417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY WHITE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-469-1417",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.