Individual provider Active NPI

Victor White, LPC, LAC, CCS

  • Professional Counselor
  • Alexandria, LA
National Provider Identifier
1952498321
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7146 Issued in LA
Practice address
2907 Houston St
Alexandria, LA 71301-4332
Phone
(318) 730-9757
Fax
(337) 602-1382
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 151 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X 965 LA
Professional Counselor 101YP2500X 7146 LA Primary

Addresses

Primary practice location

2907 Houston St
Alexandria, LA 71301-4332

Mailing address

500 Reed Ave
Eunice, LA 70535-3238
Phone (318) 730-9757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805003987 LA Practitioner - Mental Health Counselor 0244777480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Ville Platte LLCGroup PAC ID 4486903309, 41 clinicians

Practice addresses (Care Compare)

417 E Lincoln Rd
Suite a Fontenot Family Clinic
Ville Platte, LA 70586-3431
Phone (337) 363-5446

800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-5684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
965LAMDClinical Psychologist
151LAMDChiropractor
7146LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ville Platte LLC CurrentSince Apr 20, 2024 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Apr 20, 2024 Accepting new patients
Legacy Community Behavioral Health Services LLC Addiction (Substance Use Disorder) CurrentSince Jul 23, 2023 Accepting new patients

Locations

2907 Houston St
Alexandria, LA 71301
Phone (318) 442-1213

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

503 Jack Miller Rd
Ville Platte, LA 70586
Phone (337) 336-5040

Interoperability endpoints

  • Direct secure messaging: victor.white.1@5868.direct.athenahealth.com

Organizations & group practices 3

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1952498321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 REED AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353238",
            "telephone_number": "318-730-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 HOUSTON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014332",
            "telephone_number": "318-730-9757",
            "fax_number": "337-602-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "LPC, LAC, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "151",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "965",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.