Lance Kyle White, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1405052 Issued in AR

Practice address

930 Wingate St Ste E2
Conway, AR 72034-4866

Phone

(501) 642-0752

NPI assigned

Dec 31, 2008

Sex

Male

Sole proprietor

No

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 AR

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Central ArkansasGroup PAC ID 0042612244, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Central Arkansas

  • Family Medicine Physician
  • Conway, AR
  • NPI 1912543240
  Medicare reassignment Care Compare group NPD
• University of Central Arkansas

  • Speech-Language Pathologist
  • Conway, AR
  • NPI 1184387540
  NPD
• University of Central Arkansas

  • Physical Therapist
  • Conway, AR
  • NPI 1790439602
  NPD

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1710123377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORNERSTONE DR",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589269",
            "telephone_number": "501-642-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WINGATE ST STE E2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344866",
            "telephone_number": "501-642-0752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Lower Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720328518",
            "country_code": "US",
            "telephone_number": "501-303-3237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Cornerstone Dr",
            "address_purpose": "LOCATION",
            "city": "Greenbrier",
            "state": "AR",
            "postal_code": "720589269",
            "country_code": "US",
            "telephone_number": "501-642-0752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LANCE",
        "middle_name": "KYLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1405052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris White, CARE COORDINATOR
• Heather A White, A.P.N.
• Isabelle White
• Jeffrey Cade White
• Jordan Hunter White, M.D.
• Laporsha White, QBHP
• Makayla Janice White
• Matthew L White
• Molly White, RECOVERY ASSISTANT
• Stephanie Lee White, AUD

• Professional Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.