Rozelle Fredrick White, CAC-1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1-03938 Issued in MI

Practice address

901 Chippewa St
Flint, MI 48503-1570

Phone

(810) 232-9950

Fax

(810) 232-7599

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295864213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 JACQUE ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323711",
            "telephone_number": "810-233-4976",
            "fax_number": "810-233-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CHIPPEWA ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031570",
            "telephone_number": "810-232-9950",
            "fax_number": "810-232-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROZELLE",
        "middle_name": "FREDRICK",
        "name_prefix": "Mr.",
        "credential": "CAC-1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "1-03938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W White Jr., D.C.
• Karen S White
• Lisa White, LPN
• Michael White, BA, QIDP, QMHP
• Rachel White
• Shaniqua O White
• Tammy White
• Lisa Whitehead
• Lisa Ann Whitehead, RDH
• Sarah Whitehead, RN

• Addiction (Substance Use Disorder) Counselor in Flint, MI
• Providers in Flint, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.