Washington Dennis White, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3809 Issued in NC

Practice address

930 Cambridge St
Suite 108
Fayetteville, NC 28303-9625

Phone

(910) 483-1075

Fax

(910) 433-3077

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Reality Therapy

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1518190560

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1801940424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 BOBBY JONES DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129239",
            "telephone_number": "910-988-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CAMBRIDGE ST",
            "address_2": "SUITE 108",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283039625",
            "telephone_number": "910-483-1075",
            "fax_number": "910-433-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WASHINGTON",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "3809",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "98",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103646",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana White
• Sheleka White
• Stephanie White, LMFT 2022
• Taryn Nicole White, OTR/L
• Tijuana Del Roya White
• Zoe White
• Zollie White III, MD, PHD
• Courtney Parker Whitehead, PSY.D.
• Shenae Lasandra Whitehead, PHD, MA, LPA, LCMHCS
• Thomasina Whitehead, LCSWA

• Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.