Active NPI
Marlene White, LMHC
- Mental Health Counselor
- Orange Park, FL
National Provider Identifier
1891496576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21906
- Practice address
- 108 Kingsley Ave Ste 203
Orange Park, FL 32073-5685 - Phone
- (904) 372-3606
- Fax
- (904) 830-0768
- NPI assigned
- Mar 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH21906 | FL | Primary |
Addresses
Primary practice location
108 Kingsley Ave Ste 203
Orange Park, FL 32073-5685
Mailing address
108 Kingsley Ave Ste 203
Orange Park, FL 32073-5685
Phone (904) 372-3606
Other practice location 1
358 Stiles Ave Ste B
Orange Park, FL 32073-4012
Phone (904) 264-8311 ext. 108
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 |
|---|---|---|---|
| MH21906 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage to Thrive Therapy, LLC | Mental Health | Current | Accepting new patients |
| Psychological Services of Jacksonville LLC | Past | Accepting new patients |
Locations
108 Kingsley Ave
Ste 203
Orange Park, FL 32073
Phone (904) 372-3606
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
- Orange Park, FL
- NPI 1700758802
-
- Clinical Psychologist
- Orange Park, FL
- NPI 1528005311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1891496576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 KINGSLEY AVE STE 203",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735685",
"telephone_number": "904-372-3606",
"fax_number": "904-830-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 KINGSLEY AVE STE 203",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735685",
"telephone_number": "904-372-3606",
"fax_number": "904-830-0768"
}
],
"practiceLocations": [
{
"address_1": "358 Stiles Ave Ste B",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320734012",
"country_code": "US",
"telephone_number": "904-264-8311 x108",
"fax_number": "904-264-8377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "MARLENE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.