William Raymond Gary White Jr., LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4709 Golf Rd FL 7
Skokie, IL 60076-1231

Phone

(630) 651-5555

NPI assigned

May 27, 2011

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1174816805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD FL 7",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "630-651-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD FL 7",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "630-651-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Ohio St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60611",
            "country_code": "US",
            "telephone_number": "773-602-1234",
            "fax_number": "312-896-9204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13136 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604062423",
            "country_code": "US",
            "telephone_number": "708-974-5837",
            "fax_number": "708-371-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WILLIAM",
        "middle_name": "RAYMOND GARY",
        "name_suffix": "Jr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Elizabeth Westley, M.D.
• Susan G. Wexler, M.S.W.
• Danielle Cheri Whaley
• John White, LCSW
• Tina White, LCSW
• Laura A Whitehouse, P.T.
• Amanda Rose Whitlock, LCSW
• Tai A Whitlow, DPT
• Lakisha S. Whittaker, APN-CNP
• Rebecca Wiesenberg

• Mental Health Counselor in Skokie, IL
• Providers in Skokie, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.