Active NPI
Jacqueline Nicole Whiting, MS LASAC
- School Counselor
- Show Low, AZ
National Provider Identifier
1376286922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 917725
- Practice address
- 500 W Old Linden Rd
Show Low, AZ 85901-4608 - Phone
- (928) 537-6100
- NPI assigned
- Apr 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 917725 | AZ | Primary |
Addresses
Primary practice location
500 W Old Linden Rd
Show Low, AZ 85901-4608
Mailing address
PO Box 90795
White Mountain Lake, AZ 85912-0795
Phone (928) 228-6910
Other names 1
- Jacqueline Coghill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 917725 | AZ | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1376286922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90795",
"city": "WHITE MOUNTAIN LAKE",
"state": "AZ",
"postal_code": "859120795",
"telephone_number": "928-228-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W OLD LINDEN RD",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859014608",
"telephone_number": "928-537-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "JACQUELINE",
"middle_name": "NICOLE",
"credential": "MS LASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "917725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "COGHILL",
"credential": "MS LASAC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.