Individual provider Active NPI

Trisha W. White, LPC & LADC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1699084186
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4085 Issued in OK
Practice address
205 E Pine St Ste 8
Tulsa, OK 74106-4855
Phone
(918) 932-8390
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1253 OK
Professional Counselor 101YP2500X 4085 OK Primary

Addresses

Primary practice location

205 E Pine St Ste 8
Tulsa, OK 74106-4855

Mailing address

205 E. Pine St.
Suite 8
Tulsa, OK 74106-4855
Phone (918) 932-8390

Other identifiers 2

IdentifierTypeStateIssuer
4085OtherOKLPC
1253OtherOKLADC

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

LicenseStateTypeSpecialty
1253OKMDAddiction (Substance Use Disorder) Counselor
4085OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Positive Direction, Inc. Addiction (Substance Use Disorder) Current Accepting new patients
Metamorphosis Counseling Services, PLLC Current Accepting new patients

Locations

205 E Pine St
Ste 8
Tulsa, OK 74106
Phone (918) 932-8390

Organizations & group practices 2

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1699084186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E. PINE ST.",
            "address_2": "SUITE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064855",
            "telephone_number": "918-932-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PINE ST STE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064855",
            "telephone_number": "918-932-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TRISHA",
        "middle_name": "W.",
        "credential": "LPC & LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1253",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "4085",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADC",
            "identifier": "1253",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.