Active NPI
Virginia L. White, LMFT,LPC, CCS, CACII
- Marriage & Family Therapist
- Ft Stewart, GA
National Provider Identifier
1841271285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT000072
- Practice address
- 1061 Harmon Ave
Suite 1D03
Ft Stewart, GA 31314-5604 - Phone
- (912) 767-5260
- Fax
- (912) 767-5271
- NPI assigned
- Nov 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC003757 | GA | |
| Marriage & Family Therapist | 106H00000X | LMFT000072 | DC | Primary |
Addresses
Primary practice location
1061 Harmon Ave
Suite 1D03
Ft Stewart, GA 31314-5604
Mailing address
1061 Harmon Avenue Ste 1D03
Ft Stewart, GA 31314-5641
Phone (912) 767-5260
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC003757 | GA | MD | Professional Counselor |
| LMFT000072 | DC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1841271285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVENUE STE 1D03",
"city": "FT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-767-5260",
"fax_number": "912-767-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 1D03",
"city": "FT STEWART",
"state": "GA",
"postal_code": "313145604",
"telephone_number": "912-767-5260",
"fax_number": "912-767-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "VIRGINIA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "LMFT,LPC, CCS, CACII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-11",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003757",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "DC",
"license": "LMFT000072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.