Active NPI
Niesha Niquan White, LPC
- Mental Health Counselor
- Salisbury, NC
National Provider Identifier
1891218590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13111
- Practice address
- 118 S Main St
Salisbury, NC 28144-4952 - Phone
- (910) 632-0011
- Fax
- (910) 338-5637
- NPI assigned
- Jul 25, 2017
- Last updated
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13111 | NC | |
| Mental Health Counselor | 101YM0800X | A13111 | NC | |
| Mental Health Counselor | 101YM0800X | 13111 | NC | Primary |
| Professional Counselor | 101YP2500X | A13111 | NC | |
| Professional Counselor | 101YP2500X | 13111 | NC | |
| Community/Behavioral Health Agency | 251S00000X | A13111 | NC |
Addresses
Primary practice location
118 S Main St
Salisbury, NC 28144-4952
Mailing address
609 Piner Rd
Suite a # 551
Wilmington, NC 28409
Phone (704) 723-1571
Other practice location 1
118 S Main Street
Suite 109
Salisbury, NC 28144
Phone (704) 723-1571
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 |
|---|---|---|---|
| 13111 | NC | MD | Mental Health Counselor |
| A13111 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Connections Wellness Services, PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Salisbury, NC
- NPI 1467187161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1891218590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 PINER RD",
"address_2": "SUITE A # 551",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28409",
"telephone_number": "704-723-1571",
"fax_number": "910-338-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281444952",
"telephone_number": "910-632-0011",
"fax_number": "910-338-5637"
}
],
"practiceLocations": [
{
"address_1": "118 S Main Street",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "28144",
"country_code": "US",
"telephone_number": "704-723-1571",
"fax_number": "910-338-5637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "NIESHA",
"middle_name": "NIQUAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2021-11-19",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "13111",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A13111",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "13111",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13111",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "13111",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "A13111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.