Tristin Lorraine White, PHD, LCMHCS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6722 Issued in SC

Practice address

508 Bethel St
Clover, SC 29710-1154

Phone

(803) 675-8227

Fax

(704) 919-5079

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Real Connections Counseling and Wellness LLC

  • Mental Health Counselor
  • Clover, SC
  • NPI 1447175005

  Professional

  NPD (past)
• Thrive Family Services

  • Community/Behavioral Health Agency
  • Clover, SC
  • NPI 1528583879
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1841338837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 RIKER ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297106723",
            "telephone_number": "980-259-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BETHEL ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101154",
            "telephone_number": "803-675-8227",
            "fax_number": "704-919-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TRISTIN",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCMHCS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1014",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "338",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4518",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60613218",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102839",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa N Vargas, DMD
• Christine Vazquez, LPC-A, ATR-BC
• Jennifer Wagner, M.D.
• Walker Physical Therapy & Wellness, LLC
• Robbie Dean Walters Jr., PHARMD
• Alyssa Whittaker, LPCA
• Johnny T Wilkins, RPH
• Caroline Stuart Williams, MA, LPCA
• Beth Cherish Wilson, LPC
• Cheryl Wisener, DIHOM

• Professional Counselor in Clover, SC
• Providers in Clover, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.