Sherodae Monique White, BSW/M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704017122 Issued in VA

Practice address

8213 Terrell LN
Hampton, VA 23666-5828

Phone

(757) 940-1088

NPI assigned

Oct 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

From the Desk of Dr. Yancey LLCGroup PAC ID 0042650657, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• From the Desk of Dr. Yancey LLC

  • Mental Health Counselor
  • Suffolk, VA
  • NPI 1619527645
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1588484687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8213 TERRELL LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665828",
            "telephone_number": "757-940-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8213 TERRELL LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665828",
            "telephone_number": "757-940-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHERODAE",
        "middle_name": "MONIQUE",
        "credential": "BSW/M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704017122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa R. White
• Michael Donnell White Sr.
• Monique Sharaye White, PHARM.D.
• Nabila Sadiqua White, LPC
• Nicholas White, D.O.
• Toni White, MSN, APRN, PMHNP-BC
• Viola Whitehead
• Linda Carol Whitfield
• Derrick Whiting, DO
• Shanika L Whitley, PMHNP-BC

• Mental Health Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.