Nina White, PHD, LPC, LMHC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007084 Issued in GA

Practice address

4813 Ridge Rd Ste 113
Douglasville, GA 30134-6120

Phone

(470) 567-9191

Fax

(404) 905-6336

NPI assigned

Jul 19, 2006

Last updated

Oct 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Nina White Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1104845965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301411018",
            "telephone_number": "470-567-9191",
            "fax_number": "404-905-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 RIDGE RD STE 113",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346120",
            "telephone_number": "470-567-9191",
            "fax_number": "404-905-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007084",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMH6619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "WHITE",
            "prefix": "DR.",
            "credential": "PHD, LPC, LMHC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Suzette Whilby, NP
• D'Jaris Renee White, PH.D, CCC-SLP
• Daryen White, PHARM D
• Michelle Denise White, M.D.
• Milton E White, M.D.
• Sabrina White, BCBA
• Latorri Denise Whitlock
• Angelle Whitman, LPC
• Destiny Whyte
• Lonnetta Wiafe

• Professional Counselor in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.