Active NPI
Michael Allen White, MSPC, LAC
- Professional Counselor
- Glendale, AZ
National Provider Identifier
1720645211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LAC-18117
- Practice address
- 18301 N 79TH Ave Ste F168
Glendale, AZ 85308-6045 - Phone
- (602) 633-2246
- NPI assigned
- May 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-18117 | AZ | |
| Professional Counselor | 101YP2500X | LAC-18117 | AZ | Primary |
Addresses
Primary practice location
18301 N 79TH Ave Ste F168
Glendale, AZ 85308-6045
Mailing address
7357 W Cameron Dr
Peoria, AZ 85345-8792
Phone (623) 866-9717
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 |
|---|---|---|---|
| LAC-18117 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross & Perry LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1720645211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7357 W CAMERON DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853458792",
"telephone_number": "623-866-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18301 N 79TH AVE STE F168",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086045",
"telephone_number": "602-633-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MICHAEL",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "MSPC, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-18117",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LAC-18117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.