Individual provider Active NPI

Ann White, LPC

  • Professional Counselor
  • Cedar Park, TX
National Provider Identifier
1568979268
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74460 Issued in TX
Practice address
345 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-4484
Phone
(512) 649-2270
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74460 TX Primary

Addresses

Primary practice location

345 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-4484

Mailing address

PO Box 660253
Austin, TX 78766-7253

Other practice location 1

12001 W Parmer Ln Ste 203B
Cedar Park, TX 78613-7764
Phone (512) 593-7070

Other identifiers 1

IdentifierTypeStateIssuer
74460OtherTXLICENSED PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321002310 TX Practitioner - Mental Health Counselor 9537506886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Staats Psychiatric Services PLLCGroup PAC ID 8921346792, 9 clinicians

Practice addresses (Care Compare)

12151 W Parmer LN
Cedar Park, TX 78613-2171
Phone (512) 593-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74460TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Staats Psychiatric Services PLLC CurrentSince Feb 6, 2024 Accepting new patients
Southwest Neuropsychiatry Association PLLC PastSince Jun 1, 2026 Accepting new patients
Roberson Counseling Center, PLLC Professional PastSince Feb 7, 2018 Accepting new patients

Locations

12151 W Parmer Ln
Ste 202
Cedar Park, TX 78613
Phone (512) 593-7070

12001 W Parmer Ln
Ste 203B
Cedar Park, TX 78613
Phone (512) 593-7070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1568979268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660253",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787667253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CYPRESS CREEK RD STE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134484",
            "telephone_number": "512-649-2270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12001 W Parmer Ln Ste 203B",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137764",
            "country_code": "US",
            "telephone_number": "512-593-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "74460",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.