Individual provider Active NPI

Hilde Nicole White, LCSW

  • Mental Health Counselor
  • Jonesboro, AR
National Provider Identifier
1235769332
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9584-M Issued in AR
Practice address
3707 Harrisburg Rd
Jonesboro, AR 72404-8463
Phone
(870) 336-1300
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9584-M AR Primary

Addresses

Primary practice location

3707 Harrisburg Rd
Jonesboro, AR 72404-8463

Mailing address

PO Box 30022
Little Rock, AR 72260-0001
Phone (501) 455-8554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826002718 AR Practitioner - Clinical Social Worker 7618477365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Bridges Ave E
Wynne, AR 72396-2449

PO Box
Suite 30022
Little Rock, AR 72260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9584-MARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Baptist Children'S Homes and Family Ministries Mental Health CurrentSince Aug 11, 2025 Accepting new patients
Arkansas Baptist Children'S Homes PastSince Jan 19, 2020 Accepting new patients

Locations

1701 Disciple Dr
Jonesboro, AR 72405
Phone (479) 301-4247

3707 Harrisburg Rd
Jonesboro, AR 72404
Phone (870) 336-1300

9701 W Markham St
Little Rock, AR 72205
Phone (501) 424-4750

12320 Interstate 30
Little Rock, AR 72210
Phone (501) 410-1567

1200 Bridges Ave E
Wynne, AR 72396
Phone (870) 336-1300

Organizations & group practices 2

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1235769332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30022",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722600001",
            "telephone_number": "501-455-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 HARRISBURG RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048463",
            "telephone_number": "870-336-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "HILDE",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "9584-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.