Courtney White Clark, LCMHC, NBC-HWC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18676 Issued in NC

Practice address

508 Fulton St # 152
Durham, NC 27705-3875

Phone

(919) 286-0411

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Courtney White Other name

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1730938887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 OSWEGO CT",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608662",
            "telephone_number": "252-377-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FULTON ST # 152",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-286-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Chatham Business Dr",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273125603",
            "country_code": "US",
            "telephone_number": "919-806-6447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Lloyd St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275101855",
            "country_code": "US",
            "telephone_number": "252-377-7138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Cloister Ct Ste D",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275142207",
            "country_code": "US",
            "telephone_number": "919-358-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE CLARK",
        "first_name": "COURTNEY",
        "credential": "LCMHC, NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": "74164925",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": "A3549643",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WHITE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meredith Laine Whitacre, M.D.
• Diane Beasley Whitaker, OD
• Jakobie Whitaker
• Laura Godkin Whitaker, RD, LDN
• Shannon Lanee Whitaker, LPN
• White Glove Transportation, Inc
• Adrienne R White, FNP-C
• Benjamin Joseph White, MD
• Benjamin Lee White, PHD, MPH, RD, LDN
• Christopher W White, MD, PHD, FRCSC

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.