Individual provider Active NPI

Delores Evens White, LPC

  • Professional Counselor
  • Victoria, TX
National Provider Identifier
1346597341
Registry record updated Sep 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66862 Issued in TX
Practice address
4702 N Laurent St
Suite D
Victoria, TX 77904-2147
Phone
(361) 572-0202
Fax
(361) 572-0300
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2023

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 66862 TX Primary

Addresses

Primary practice location

4702 N Laurent St
Suite D
Victoria, TX 77904-2147

Mailing address

4702 N Laurent St
Suite D
Victoria, TX 77904-2147
Phone (361) 572-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240213004413 TX Practitioner - Mental Health Counselor 7517355787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delores E. White PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
David and Delores White PastSince Jan 1, 2024 Accepting new patients

Locations

415 E Davis St
Luling, TX 78648

4702 N Laurent St
Ste D
Victoria, TX 77904
Phone (361) 489-0212

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1346597341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 N LAURENT ST",
            "address_2": "SUITE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042147",
            "telephone_number": "361-572-0202",
            "fax_number": "361-572-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 N LAURENT ST",
            "address_2": "SUITE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042147",
            "telephone_number": "361-572-0202",
            "fax_number": "361-572-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DELORES",
        "middle_name": "EVENS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.