Courtney Blythe Walters White, LCMHCS, CCMHC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7375 Issued in NC

Practice address

4801 Glenwood Avenue
Suite 200 #827
Raleigh, NC 27612

Phone

(910) 812-1843

Fax

(910) 417-9057

NPI assigned

May 11, 2010

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Courtney Blythe Walters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Karuna Counseling and Wellness, PLLC

  • Professional Counselor
  • Raleigh, NC
  • NPI 1326798935

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1841518149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVENUE",
            "address_2": "SUITE 200 #827",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "910-812-1843",
            "fax_number": "910-407-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVENUE",
            "address_2": "SUITE 200 #827",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "910-812-1843",
            "fax_number": "910-417-9057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283584872",
            "country_code": "US",
            "telephone_number": "910-812-1843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "COURTNEY",
        "middle_name": "BLYTHE WALTERS",
        "name_prefix": "Ms.",
        "credential": "LCMHCS, CCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7375",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WALTERS",
            "middle_name": "BLYTHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• White Oak Psychological Services, Inc
• Alexis White
• Anna Varley White, PA-C, MPH
• Anne Kittredge White, LCSWA
• Brynn White
• Courtney Dallas White, PA C
• Dale E. White, PA
• David Cloid White, MD
• Davizha White, MSW, LCSWA
• Ebony Diane White

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.