Individual provider Active NPI

Rene Michelle Duvent White, MA, LPC, CAC III

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1205980802
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-6372 Issued in CO
Practice address
3000 Pearl St
Boulder, CO 80301-2438
Phone
(303) 332-1324
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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-6372 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC III-6861 CO

Addresses

Primary practice location

3000 Pearl St
Boulder, CO 80301-2438

Mailing address

PO Box 4102
Boulder, CO 80306-4102
Phone (303) 332-1324

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CAC III-6861COMDAddiction (Substance Use Disorder) Counselor
LPC-6372COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1205980802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803064102",
            "telephone_number": "303-332-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012438",
            "telephone_number": "303-332-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVENT WHITE",
        "first_name": "RENE",
        "middle_name": "MICHELLE",
        "credential": "MA, LPC, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC-6372",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "CAC III-6861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.