Active NPI
David Berton White, LPC
- Professional Counselor
- Monmouth Junction, NJ
National Provider Identifier
1871892323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00691400
- Practice address
- 878 Georges Rd Ste 5
Monmouth Junction, NJ 08852-3011 - Phone
- (609) 297-5013
- NPI assigned
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 37PC00691400 | NJ | Primary |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
878 Georges Rd Ste 5
Monmouth Junction, NJ 08852-3011
Mailing address
501 Farber Rd Apt 219
Princeton, NJ 08540-5966
Phone (801) 865-7872
Other practice location 1
2708 NE 14th St
Suite 5
Pompano Beach, FL 33062-3565
Phone (954) 603-7885
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 |
|---|---|---|---|
| 37PC00691400 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awakened Path Counseling & Psychotherapy, LLC | Past | Accepting new patients | |
| Butterfly Effects | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Monmouth Junction, NJ
- NPI 1659839520
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pompano Beach, FL
- NPI 1104124940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1871892323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FARBER RD APT 219",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085405966",
"telephone_number": "801-865-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "878 GEORGES RD STE 5",
"city": "MONMOUTH JUNCTION",
"state": "NJ",
"postal_code": "088523011",
"telephone_number": "609-297-5013"
}
],
"practiceLocations": [
{
"address_1": "2708 NE 14th St",
"address_2": "Suite 5",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "330623565",
"country_code": "US",
"telephone_number": "954-603-7885",
"fax_number": "954-342-0273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "DAVID",
"middle_name": "BERTON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-23",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00691400",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monmouth Junction, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.