Organization Active NPI

White Oak Counseling, Inc.

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1528570868
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005487 Issued in VA
Legal business name
WHITE OAK COUNSELING, INC.
Practice address
103 S Pantops Dr Ste 203
Charlottesville, VA 22911-8617
Phone
(773) 320-2907
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Carly Mount, PSY.D.NPI 1093054082
Title
Director Or Clinical Operations
Phone
(773) 320-2907

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810005487 VA Primary

Addresses

Primary practice location

103 S Pantops Dr Ste 203
Charlottesville, VA 22911-8617

Mailing address

103 S Pantops Dr Ste 203
Charlottesville, VA 22911-8617

Other identifiers 2

IdentifierTypeStateIssuer
1093054082OtherAETNA
1093054082OtherANTHEM BLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

667 Berkmar Ct
Charlottesville, VA 22901
Phone (434) 394-0220

103 S Pantops Dr
Ste 203
Charlottesville, VA 22911
Phone (773) 320-2907

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": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1528570868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S PANTOPS DR STE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S PANTOPS DR STE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118617",
            "telephone_number": "773-320-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "MOUNT",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "DIRECTOR OR CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "773-320-2907",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1093054082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "1093054082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.