Individual provider Active NPI

Rachel Rebecca White, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1760125686
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14186 Issued in FL
Practice address
11512 Lake Mead Ave Unit 405
Jacksonville, FL 32256-9687
Phone
(833) 577-6257
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14186 FL Primary

Addresses

Primary practice location

11512 Lake Mead Ave Unit 405
Jacksonville, FL 32256-9687

Mailing address

11512 Lake Mead Ave Unit 405
Jacksonville, FL 32256-9687
Phone (833) 577-6257

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

LicenseStateTypeSpecialty
MH14186FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Oaks Therapy LLC Mental Health Current Accepting new patients

Locations

11512 Lake Mead Ave
Unit 405
Jacksonville, FL 32256
Phone (833) 577-6257

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1760125686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 405",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569687",
            "telephone_number": "833-577-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 405",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569687",
            "telephone_number": "833-577-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RACHEL",
        "middle_name": "REBECCA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

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