Active NPI
Carolyn H. White, LCDC
- Addiction (Substance Use Disorder) Counselor
- Austin, TX
National Provider Identifier
1649515545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10945
- Practice address
- 8402 Cross Park Dr
Austin, TX 78754-4595 - Phone
- (512) 697-8588
- Fax
- (512) 697-8598
- NPI assigned
- Dec 3, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10945 | TX | Primary |
Addresses
Primary practice location
8402 Cross Park Dr
Austin, TX 78754-4595
Mailing address
8402 Cross Park Dr
Austin, TX 78754-4595
Phone (512) 697-8588
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 |
|---|---|---|---|
| 10945 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1649515545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8402 CROSS PARK DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787544595",
"telephone_number": "512-697-8588",
"fax_number": "512-697-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8402 CROSS PARK DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787544595",
"telephone_number": "512-697-8588",
"fax_number": "512-697-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CAROLYN",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.