Active NPI
James Timothy White, MA
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1497189161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 199B0AF1-6E02-4452-8
- Practice address
- 275 Belmont St
Worcester, MA 01604-1675 - Phone
- (508) 791-3261
- NPI assigned
- Aug 29, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 199B0AF1-6E02-4452-8 | MA | Primary |
Addresses
Primary practice location
275 Belmont St
Worcester, MA 01604-1675
Mailing address
45 Prouty LN
Worcester, MA 01602-2251
Phone (508) 340-0529
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 |
|---|---|---|---|
| 199B0AF1-6E02-4452-8 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1497189161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 PROUTY LN",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016022251",
"telephone_number": "508-340-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041675",
"telephone_number": "508-791-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JAMES",
"middle_name": "TIMOTHY",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "199B0AF1-6E02-4452-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.