Susanna Heike White, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2003018369 Issued in MO

Practice address

13160 Cty Rd 3610
St. James, MO 65559

Phone

(573) 265-3251

Fax

(573) 265-0156

NPI assigned

Jul 26, 2006

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 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1811910052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 PRIVATE DRIVE 5316",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654017675",
            "telephone_number": "573-578-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 CTY RD 3610",
            "city": "ST. JAMES",
            "state": "MO",
            "postal_code": "65559",
            "telephone_number": "573-265-3251",
            "fax_number": "573-265-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SUSANNA",
        "middle_name": "HEIKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003018369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499043107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alanna Gale Layer Veteto, M.A. CF-SLP
• Sally Walton, M.A, PLPC
• Ellen L. Weinbaum, CCC/SLP
• Jonathan Michael Wells, MS, PLPC
• Bill Whistler
• William Eugene White Jr., LPC
• Ronald Dennis Wilkerson, D.M.D.
• Timothy Wilson, PHARM.D.
• Lauren Renee Zanaboni, MSW, LMSW

• Professional Counselor in St. James, MO
• Providers in St. James, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.