Individual provider Active NPI

Nicole Renee White, LAPC

  • Counselor
  • Johnstown, PA
National Provider Identifier
1184454241
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
APC000267 Issued in PA
Practice address
321 Main St Ste 4F
Johnstown, PA 15901-1632
Phone
(814) 254-4905
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC000267 PA Primary

Addresses

Primary practice location

321 Main St Ste 4F
Johnstown, PA 15901-1632

Mailing address

321 Main St Ste 4F
Johnstown, PA 15901-1632
Phone (814) 262-0025

Other practice location 1

214 College Park Plz
Johnstown, PA 15904-2833
Phone (814) 262-0025

Other names 1

  • Nicole Renee Elli Former name

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

LicenseStateTypeSpecialty
APC000267PAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1184454241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST STE 4F",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011632",
            "telephone_number": "814-262-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST STE 4F",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011632",
            "telephone_number": "814-254-4905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 College Park Plz",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159042833",
            "country_code": "US",
            "telephone_number": "814-262-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "APC000267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ELLI",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.