Active NPI
Gay Lyn White, LPC
- Counselor
- Tremonton, UT
National Provider Identifier
1154469757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5811058-6004
- Practice address
- 431 W 600 N
Tremonton, UT 84337-2411 - Phone
- (435) 730-3888
- Fax
- (435) 257-5436
- NPI assigned
- Feb 3, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5811058-6004 | UT | Primary |
Addresses
Primary practice location
431 W 600 N
Tremonton, UT 84337-2411
Mailing address
431 W 600 N
Tremonton, UT 84337-2411
Phone (435) 730-3888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5811058-6004 | UT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Dental, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Tremonton, UT
- NPI 1568751683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154469757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 W 600 N",
"city": "TREMONTON",
"state": "UT",
"postal_code": "843372411",
"telephone_number": "435-730-3888",
"fax_number": "435-257-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W 600 N",
"city": "TREMONTON",
"state": "UT",
"postal_code": "843372411",
"telephone_number": "435-730-3888",
"fax_number": "435-257-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "GAY LYN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "5811058-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tremonton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.