Taylor Barton White, LCPC, NCC

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

LC12490 Issued in MD

Practice address

125 Bent Twig LN
Gaithersburg, MD 20878-2736

Phone

(303) 618-9318

NPI assigned

Mar 20, 2022

Last updated

Mar 20, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1922757806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BENT TWIG LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782736",
            "telephone_number": "303-618-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BENT TWIG LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782736",
            "telephone_number": "303-618-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TAYLOR",
        "middle_name": "BARTON",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MD",
            "license": "LC12490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalyst in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Psychoanalyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.