Chelsea Simone White, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

WHIT-QKDKD6 Issued in NC

Practice address

163 Stratford CT Ste 170
Winston Salem, NC 27103-1833

Phone

(336) 831-4051

Fax

(336) 436-9123

NPI assigned

Jul 17, 2020

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)

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.

• Triad Child & Family Counseling, PLLC

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1679030472
  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1346858156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PORTSIDE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065376",
            "telephone_number": "252-955-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 STRATFORD CT STE 170",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031833",
            "telephone_number": "336-831-4051",
            "fax_number": "336-436-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHELSEA",
        "middle_name": "SIMONE",
        "name_prefix": "Ms.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "WHIT-QKDKD6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly D Whitaker
• Samuel Harrison Whitaker, RN
• Amy M White
• Andrew Wilson White, M.D.
• Anne L White, M.D.
• David M White, PA
• Douglas Rector White, MD
• Eddie Dean Tyler White
• Elizabeth Bost White, LCMHC, LCAS, CCS
• Grayson Danielle White, DO

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.