Jason Robert White, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAC5712 Issued in ME

Practice address

10 Nevelson St
Rockland, ME 04841-5532

Phone

(207) 542-4301

Fax

(207) 626-8312

NPI assigned

Jun 1, 2015

Last updated

Jun 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Maine Behavioral Health Organization

  • Community/Behavioral Health Agency
  • Augusta, ME
  • NPI 1124553979
  Authorized official Same address or phone

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1871973263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEVELSON ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048415532",
            "telephone_number": "207-542-4301",
            "fax_number": "207-626-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEVELSON ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048415532",
            "telephone_number": "207-542-4301",
            "fax_number": "207-626-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC5712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra K Walters, D.O.M.
• Jonathan D Ward, LCPC
• Lauren Watts, OT/L
• Cherrie R Waxman, M.ED., CCC-SLP
• Kelly J Webster-Raymond, LCSW
• Thomas Jorgen White, DC
• Sarah Wilcox Minzy, MSW -CC
• Rachel Rivard Wilcox, NP
• Ann E Williams
• Sally A Williams, MA, LCPC

• Addiction (Substance Use Disorder) Counselor in Rockland, ME
• Providers in Rockland, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.