Active NPI
Amanda Sumer White, P-LPC
- Professional Counselor
- Laurel, MS
National Provider Identifier
1447008487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P-1034
- Practice address
- 525 Commerce St
Laurel, MS 39440-3954 - Phone
- (601) 606-8908
- NPI assigned
- May 6, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P-1034 | MS | Primary |
Addresses
Primary practice location
525 Commerce St
Laurel, MS 39440-3954
Mailing address
872 Morriston Rd
Petal, MS 39465-5202
Phone (601) 606-8908
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
| License | State | Type | Specialty |
|---|---|---|---|
| P-1034 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1447008487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 MORRISTON RD",
"city": "PETAL",
"state": "MS",
"postal_code": "394655202",
"telephone_number": "601-606-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 COMMERCE ST",
"city": "LAUREL",
"state": "MS",
"postal_code": "394403954",
"telephone_number": "601-606-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AMANDA",
"middle_name": "SUMER",
"credential": "P-LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "P-1034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.