Individual provider Active NPI

Traci White, LCPC

  • Professional Counselor
  • Normal, IL
National Provider Identifier
1336937002
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016130 Issued in IL
Practice address
706 Oglesby Ave Ste 300
Normal, IL 61761-4616
Phone
(309) 212-3606
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.016130 IL Primary

Addresses

Primary practice location

706 Oglesby Ave Ste 300
Normal, IL 61761-4616

Mailing address

7705 Lakewood Rd
Weldon, IL 61882-8969
Phone (309) 267-2423

Other practice location 1

2045 W. Grand Ave.
Ste B. #28354
Chicago, IL 60612-1577
Phone (888) 705-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250520004319 IL Practitioner - Mental Health Counselor 2365960598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.016130ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott Counseling Services, LLC Professional CurrentSince Jun 25, 2026 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

2045 W Grand Ave
Ste B28354
Chicago, IL 60612

850 E 2nd St
El Paso, IL 61738
Phone (309) 527-2700

706 Oglesby Ave
Ste 300
Normal, IL 61761
Phone (309) 212-3606

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1336937002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 LAKEWOOD RD",
            "city": "WELDON",
            "state": "IL",
            "postal_code": "618828969",
            "telephone_number": "309-267-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 OGLESBY AVE STE 300",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614616",
            "telephone_number": "309-212-3606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 W. Grand Ave.",
            "address_2": "Ste B. #28354",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606121577",
            "country_code": "US",
            "telephone_number": "888-705-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TRACI",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.