Individual provider Active NPI

Jessie Lynn Colter White I, LISW

  • Clinical Social Worker
  • Piketon, OH
National Provider Identifier
1821647959
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507167 Issued in OH
Practice address
316 E Main St
Piketon, OH 45661-8018
Phone
(800) 321-8293
NPI assigned
Sep 11, 2019
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LICDC.162447 OH
Social Worker 104100000X S.2207406 OH
Clinical Social Worker 1041C0700X I.2507167 OH Primary

Addresses

Primary practice location

316 E Main St
Piketon, OH 45661-8018

Mailing address

PO Box 132
Athens, OH 45701-0132
Phone (800) 321-8293

Other practice location 1

411 Court St
Portsmouth, OH 45662-3932
Phone (740) 354-6685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20251125001193 OH Practitioner - Clinical Social Worker 9931691102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1886 Straight Creek Rd
Waverly, OH 45690-9773

411 Court St
Portsmouth, OH 45662-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162447OHMDCounselor
S.2207406OHMDSocial Worker
I.2507167OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scioto County Counseling Center, Inc Addiction (Substance Use Disorder) Current Accepting new patients
Scioto County Counseling Center Inc Addiction (Substance Use Disorder) CurrentSince Sep 14, 2025 Accepting new patients
Scioto County Counseling Center, Inc. CurrentSince Sep 14, 2025 Accepting new patients
Pike County Recovery Council Inc PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessie.white.p1@direct.thecounselingcenter.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1821647959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010132",
            "telephone_number": "800-321-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E MAIN ST",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456618018",
            "telephone_number": "800-321-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Court St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623932",
            "country_code": "US",
            "telephone_number": "740-354-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSIE",
        "middle_name": "LYNN COLTER",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "LICDC.162447",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2207406",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piketon, OH

Sources for this page

Verify at the official NPI Registry.