Diane White, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005038586 Issued in MO

Practice address

413 Historic 66 W
Waynesville, MO 65583-2114

Phone

(417) 260-5228

Fax

(866) 206-7178

NPI assigned

Jan 30, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1700923885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16946 TIFFANY DR",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832521",
            "telephone_number": "417-260-5228",
            "fax_number": "866-206-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 HISTORIC 66 W",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832114",
            "telephone_number": "417-260-5228",
            "fax_number": "866-206-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005038586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497523209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waynesville Medical Investors, LLC (Life Care Center of Waynesville)
• Waynesville Physical Therapy
• Waynesville R-VI School District
• Jacqueline S. Welborn, MA, PLPC, CSACII
• Amanda White, AUD
• Ashley Wildrick
• Malinda Williams
• Rebecca Ann Williams, LPC
• Mary Wilson
• Sean Avery Wilson, LPC

• Professional Counselor in Waynesville, MO
• Providers in Waynesville, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.