Jessie White Psychotherapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSIE WHITE PSYCHOTHERAPY PLLC

Practice address

4501 S 2ND St
Austin, TX 78745-1950

Phone

(770) 374-9161

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Rae White, LCSWNPI 1154948495

Title

Sole Member

Phone

(512) 956-4670

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Rae White, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1154948495
  NPD Authorized official

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1376208405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 S 2ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451950",
            "telephone_number": "770-374-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S 2ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451950",
            "telephone_number": "770-374-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE WHITE PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "512-956-4670",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRITER",
            "identifier": "1154948495",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nirupama Esther Jerome, DNP
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• Alaina Jesperson, LCSW
• Jessica Medlyn
• Jessica Sprengle, LLC
• Candace Sherrene Jessup
• Nicholas Edward Jessup
• Jester Dental PC
• Samson Jesudass, M.D.
• Patsy Ann Jevas, C.R.N.A.

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.