Active NPI
Deirdra White, MA, LLPC
- Professional Counselor
- Frankenmuth, MI
National Provider Identifier
1396171310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401017377
- Practice address
- 401 Queens Creek Dr W
Frankenmuth, MI 48734 - Phone
- (989) 262-9780
- NPI assigned
- Sep 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401017377 | MI | Primary |
Addresses
Primary practice location
401 Queens Creek Dr W
Frankenmuth, MI 48734
Mailing address
401 Queens Creek Dr W
Frankenmuth, MI 48734-1373
Phone (989) 284-6171
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017377 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1396171310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 QUEENS CREEK DR W",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341373",
"telephone_number": "989-284-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 QUEENS CREEK DR W",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "48734",
"telephone_number": "989-262-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DEIRDRA",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankenmuth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.