Shelley J. White, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16517 Issued in TX

Practice address

5410 Bell St Ste 414
Amarillo, TX 79109-6222

Phone

(806) 670-3755

Fax

(806) 383-8789

NPI assigned

Dec 23, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shelley J White LPC PC

  dba Shelley J White LPC

  • Counselor
  • Amarillo, TX
  • NPI 1457122863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780661470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19178",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791141178",
            "telephone_number": "806-670-3755",
            "fax_number": "806-383-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 BELL ST STE 414",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096222",
            "telephone_number": "806-670-3755",
            "fax_number": "806-383-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHELLEY",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290363-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290363-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPMHMR",
            "identifier": "029036301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dona Chimene White, AG ACNP
• Jenesis White, COTA
• John Sterling White, MD
• Lesli D White, LPC
• Shantel White, DNP, APRN, NNP-BC
• Johnathon Todd Whitehead, DC
• Richard Lee Whitehead, LPC
• Amanda Whiteside, PHARM.D.
• Ashley Whitley
• Cassandra Lea Whitney, F.N.P.

• Mental Health Counselor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.