Active NPI
Robert Lee White, LPC-A, LCDC
- Professional Counselor
- Beaumont, TX
National Provider Identifier
1538830815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85456
- Practice address
- 6820 Broadleaf Dr
Beaumont, TX 77708-2333 - Phone
- (409) 201-1667
- Fax
- (409) 899-5309
- NPI assigned
- Sep 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14059 | TX | |
| Professional Counselor | 101YP2500X | 85456 | TX | Primary |
Addresses
Primary practice location
6820 Broadleaf Dr
Beaumont, TX 77708-2333
Mailing address
6820 Broadleaf Dr
Beaumont, TX 77708-2333
Phone (409) 201-1667
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 |
|---|---|---|---|
| 85456 | TX | MD | Professional Counselor |
| 14059 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632528000000",
"number": "1538830815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 BROADLEAF DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777082333",
"telephone_number": "409-201-1667",
"fax_number": "409-899-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 BROADLEAF DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777082333",
"telephone_number": "409-201-1667",
"fax_number": "409-899-5309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ROBERT",
"middle_name": "LEE",
"credential": "LPC-A, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-25",
"last_updated": "2021-09-25",
"certification_date": "2021-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "14059",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.