Individual provider Active NPI

Robert White, DBA, MBA

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1457730608
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4915 E Russell Rd Apt 172
Las Vegas, NV 89120-2390
Phone
(410) 493-9049
NPI assigned
May 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4915 E Russell Rd Apt 172
Las Vegas, NV 89120-2390

Mailing address

4915 E Russell Rd Apt 172
Las Vegas, NV 89120-2390
Phone (410) 493-9049

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
Doctor of Business Administration, Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1457730608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E RUSSELL RD APT 172",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202390",
            "telephone_number": "410-493-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E RUSSELL RD APT 172",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202390",
            "telephone_number": "410-493-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DBA, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.