Organization Active NPI

Shelley J White LPC PC

  • Counselor
  • Amarillo, TX
National Provider Identifier
1457122863
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SHELLEY J WHITE LPC PC
Doing business as
Shelley J White LPC
Practice address
5410 Bell St # B414
Amarillo, TX 79109-6222
Phone
(806) 670-3755
Fax
(806) 383-8789
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Shelley J White, LPCNPI 1780661470
Title
Owner
Phone
(806) 670-3757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5410 Bell St # B414
Amarillo, TX 79109-6222

Mailing address

PO Box 19178
Amarillo, TX 79114-1178
Phone (806) 670-3757

Other names 1

  • Shelley J White LPC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202001745 TX Part B Supplier - Clinic/Group Practice 5294188579 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

5410 Bell St
#B414
Amarillo, TX 79109
Phone (806) 670-3755

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1457122863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19178",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791141178",
            "telephone_number": "806-670-3757",
            "fax_number": "806-383-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 BELL ST # B414",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096222",
            "telephone_number": "806-670-3755",
            "fax_number": "806-383-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY J WHITE LPC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-670-3757",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelley J White LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.