Keena S White, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00692300 Issued in NJ

Practice address

843 Rahway Ave FL 2
Woodbridge, NJ 07095-3648

Phone

(732) 574-0785

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Relative Counseling LLC

  • Mental Health Counselor
  • Woodbridge, NJ
  • NPI 1407421365
  NPD Authorized official

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1154951879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 RAHWAY AVE FL 2",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953648",
            "telephone_number": "732-574-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 RAHWAY AVE FL 2",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953648",
            "telephone_number": "732-574-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEENA",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00692300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Webber, M.D.
• Wegmans Food Markets, Inc.
• Well Health Medical Practice Inc
• Wendel Family Wellness Center and Spinal Rehab
• Wendy J Whitbred, MSW
• Olga Wiley, MD
• Nakisha Williams, LAC
• Martin Willis
• Shannon Witkowski, NP-C
• Woodbridge Board of Education

• Mental Health Counselor in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.