Individual provider Active NPI

Christina Lee White, MS, CACII, NCPRSS

  • Professional Counselor
  • Daytona Beach, FL
National Provider Identifier
1710466768
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
140 S Beach St Ste 310
Daytona Beach, FL 32114-4409
Phone
(386) 747-6541
NPI assigned
Aug 10, 2018
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X FL
Pastoral Counselor 101YP1600X FL
Professional Counselor 101YP2500X NU Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

140 S Beach St Ste 310
Daytona Beach, FL 32114-4409

Mailing address

125 Cool Springs Blvd Ste 270
Franklin, TN 37067-6574
Phone (888) 339-9404

Other practice location 1

1801 NE 123rd St Ste 314
North Miami, FL 33181-2883
Phone (888) 339-9404

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Therapy-TN PLLC CurrentSince Jun 8, 2025 Accepting new patients
180 Health Partners , Inc Professional CurrentSince Oct 24, 2021 Accepting new patients
Embridge Counseling Services PastSince Oct 16, 2022 Accepting new patients

Locations

1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220

125 Cool Springs Blvd
Ste 270
Franklin, TN 37067
Phone (210) 248-9077

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1710466768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COOL SPRINGS BLVD STE 270",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676574",
            "telephone_number": "888-339-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S BEACH ST STE 310",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144409",
            "telephone_number": "386-747-6541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 NE 123rd St Ste 314",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812883",
            "country_code": "US",
            "telephone_number": "888-339-9404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHRISTINA",
        "middle_name": "LEE",
        "credential": "MS, CACII, NCPRSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.