Individual provider Active NPI

Jeffrey Wheeler White, LMFT-S

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1427115195
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201322 Issued in TX
Practice address
4124 Oak Lawn Ave
Dallas, TX 75219-3136
Phone
(214) 224-2693
Fax
(214) 224-2696
NPI assigned
Jan 2, 2007
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000043 NY
Marriage & Family Therapist 106H00000X 201322 TX Primary

Addresses

Primary practice location

4124 Oak Lawn Ave
Dallas, TX 75219-3136

Mailing address

7111 La Vista Dr
Dallas, TX 75214-4225
Phone (214) 406-7376

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

State licenses

LicenseStateTypeSpecialty
201322TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Noroton Presbyterian Church Marriage & Family Therapist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1427115195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 LA VISTA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144225",
            "telephone_number": "214-406-7376",
            "fax_number": "214-224-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 OAK LAWN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193136",
            "telephone_number": "214-224-2693",
            "fax_number": "214-224-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEFFREY",
        "middle_name": "WHEELER",
        "name_prefix": "Dr.",
        "credential": "LMFT-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000043",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.