Individual provider Active NPI

Marlene White, LMHC

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1891496576
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21906 Issued in FL
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

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MH21906FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Courage to Thrive Therapy, LLC Mental Health CurrentSince Sep 21, 2025 Accepting new patients
Psychological Services of Jacksonville LLC PastSince Feb 20, 2016 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.

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.

Verify at the official NPI Registry.