Staci Whiteside, M.A, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4670 Issued in LA

Practice address

441 Holmes Dr
Slidell, LA 70460-8431

Phone

(985) 774-7500

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Canopy Counseling & Consulting

  • Professional Counselor
  • Slidell, LA
  • NPI 1316608045
  NPD Authorized official

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1265849434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 HOLMES DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704608431",
            "telephone_number": "985-774-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 HOLMES DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704608431",
            "telephone_number": "985-774-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "STACI",
        "credential": "M.A, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C White, MD
• Shante White
• Sundra L White, LPC
• Tonya J. White, LCSW-BACS,SCWA,SSWS
• Felicia Ann Whiteman, PH.D., M.P.
• Whitfield Consulting
• April Hughes Whitfield, MS, PLPC
• Michael Wible, RPH
• Madison Nichole Wiebelt
• Madelyn Claire Wiegand, MD

• Professional Counselor in Slidell, LA
• Providers in Slidell, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.