Active NPI
Kimberly Dawn White, M.S., L.P.C.
- Professional Counselor
- Christiansburg, VA
National Provider Identifier
1750469227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 448 Depot St NE
Christiansburg, VA 24073-2050 - Phone
- (540) 260-3430
- Fax
- (540) 260-3431
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | VA | Primary |
Addresses
Primary practice location
448 Depot St NE
Christiansburg, VA 24073-2050
Mailing address
5534 Meadowcrest St
Roanoke, VA 24019-4814
Phone (540) 818-6545
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071003892 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camelot of Virginia, LLC | Past | Accepting new patients | |
| Tekoa, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Christiansburg, VA
- NPI 1578759072
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Christiansburg, VA
- NPI 1720162472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750469227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5534 MEADOWCREST ST",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194814",
"telephone_number": "540-818-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 DEPOT ST NE",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240732050",
"telephone_number": "540-260-3430",
"fax_number": "540-260-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"credential": "M.S., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.