Carla Porter-White, L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009984 Issued in IL

Practice address

19710 Governors Hwy Ste 9
Flossmoor, IL 60422-2081

Phone

(708) 955-0171

NPI assigned

Feb 17, 2010

Last updated

Jul 6, 2016By the provider in NPPES

Sex

Female

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

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.

• CPW Counseling PLLC

  • Mental Health Counselor
  • Flossmoor, IL
  • NPI 1437015823
  NPD Authorized official

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1922320019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 9",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222081",
            "telephone_number": "708-955-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 9",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222081",
            "telephone_number": "708-955-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER-WHITE",
        "first_name": "CARLA",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lata Pillai, PT, CLT-LANA
• Yolanda Lea Pinkney, LPC
• Pioneer Concepts Inc (Flossmoor Terrace)
• Planned Parenthood of Illinois
• Dale Spencer Pope, DDS MS
• Jerrie J Posthumus, C.R.N.A
• Avery C. Powell, D.D.S.
• Marianne Powell
• Sujatha Prabhakaran, M.D.
• Precious Care Home Health Care LLC (Precious Care Home Services)

• Professional Counselor in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.