Active NPI
Stephanie White, LMFT 2022
- Marriage & Family Therapist
- Fayetteville, NC
National Provider Identifier
1619271889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2022
- Practice address
- 806 Hay St
Fayetteville, NC 28305-5312 - Phone
- (910) 860-7008
- NPI assigned
- Jan 3, 2011
- Last updated
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | 12064A | NC | |
| Marriage & Family Therapist | 106H00000X | 2022 | NC | Primary |
Addresses
Primary practice location
806 Hay St
Fayetteville, NC 28305-5312
Mailing address
5628 Sheraton Dr
Fayetteville, NC 28303-2624
Other practice location 1
675 Panther Dr
Santa Maria, CA 93454-9701
Phone (805) 922-1305
Other practice location 2
3500 Westgate Dr Ste 604
Durham, NC 27707-2534
Phone (919) 493-5013
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 |
|---|---|---|---|
| 12064A | NC | MD | Mental Health Counselor |
| 2022 | NC | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1619271889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5628 SHERATON DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283032624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 HAY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055312",
"telephone_number": "910-860-7008"
}
],
"practiceLocations": [
{
"address_1": "675 Panther Dr",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934549701",
"country_code": "US",
"telephone_number": "805-922-1305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3500 Westgate Dr Ste 604",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277072534",
"country_code": "US",
"telephone_number": "919-493-5013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "LMFT 2022",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "12064A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "2022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.