Jessica Shannon White, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

164582 Issued in KY

Practice address

1589 Hill Rise Dr
Lexington, KY 40504-2588

Phone

(859) 977-2525

Fax

(859) 233-9231

NPI assigned

May 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Chrysalis House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lexington, KY
  • NPI 1962627273
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1306291851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 HILL RISE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042588",
            "telephone_number": "859-977-2525",
            "fax_number": "859-233-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 HILL RISE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042588",
            "telephone_number": "859-977-2525",
            "fax_number": "859-233-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSICA",
        "middle_name": "SHANNON",
        "name_prefix": "Miss",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "ADCADC00225693",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "164582",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White, Greer and Maggard, PSC
• Heather N. White, CRNA
• Henry Dulin White II, PT, PHD
• Jacquelyn Marie White, MA, LPCA
• Janet M White, M.D.
• John R White, M.D.
• Joyce Eileen White, PHARMD
• Kaitlin Nicole White
• Kate Imperial White, DNP-APRN
• Katherine Elise White, BCBA

• Addiction (Substance Use Disorder) Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.