Individual provider Active NPI

Andrea Lynn White, M.ED, MS, LAC, CCTP

  • Counselor
  • Gilbert, AZ
National Provider Identifier
1184057101
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-22415 Issued in AZ
Practice address
1355 S Higley Rd Ste 108
Gilbert, AZ 85296-4799
Phone
(480) 550-8240
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-22415 AZ
Counselor 101Y00000X LPC-22415 AZ Primary

Addresses

Primary practice location

1355 S Higley Rd Ste 108
Gilbert, AZ 85296-4799

Mailing address

1355 S Higley Rd BLDG 3
Gilbert, AZ 85296-4799
Phone (480) 550-8240

Other practice location 1

2850 N 24th St
Phoenix, AZ 85008-1004
Phone (602) 218-8679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 31, 2025 through Jul 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-22415AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emdr Transformations Counseling, LLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

1355 S Higley Rd
Ste 108
Gilbert, AZ 85296
Phone (480) 550-8240

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.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1184057101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD BLDG 3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964799",
            "telephone_number": "480-550-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964799",
            "telephone_number": "480-550-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 N 24th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850081004",
            "country_code": "US",
            "telephone_number": "602-218-8679",
            "fax_number": "602-633-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "M.ED, MS, LAC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-22415",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-22415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.