Nicolas Allen Whited, LPC, CRC, CSAC, PBSF

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005169 Issued in VA

Practice address

113 Short St
Suite 2
Pounding Mill, VA 24637-4278

Phone

(276) 963-1028

NPI assigned

Jun 24, 2011

Last updated

Nov 12, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Chesterfield Family Guidance Center

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1225192909

  Professional

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  Professional, VA

  Medicare reassignment NPD
• Marvin Behavioral Health Ma PC

  • Psychologist
  • Boston, MA
  • NPI 1740860428
  NPD (past)

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1881980100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SHORT ST",
            "address_2": "SUITE 2",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374278",
            "telephone_number": "276-963-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SHORT ST",
            "address_2": "SUITE 2",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374278",
            "telephone_number": "276-963-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITED",
        "first_name": "NICOLAS",
        "middle_name": "ALLEN",
        "credential": "LPC, CRC, CSAC, PBSF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102224",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town Center Urgent Care LLC (Ultra Health Pounding Mill)
• Valerie J. Christian, O.D., P.C.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2761)
• Wal-Mart Stores East, LP (Vision Center 30-2761)
• Derek Wayne White, PHARMD
• Beverly Christine Young, NP

• Professional Counselor in Pounding Mill, VA
• Providers in Pounding Mill, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.