Individual provider Active NPI

Roni Karla White, NCC, LGPC

  • Professional Counselor
  • Gaithersburg, MD
National Provider Identifier
1972075034
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP9003 Issued in MD
Practice address
915 Russell Ave Ste B
Gaithersburg, MD 20879-6200
Phone
(301) 281-6550
NPI assigned
Dec 28, 2018
Last updated
Dec 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X LGP9003 MD Primary

Addresses

Primary practice location

915 Russell Ave Ste B
Gaithersburg, MD 20879-6200

Mailing address

12418 Walnut Cove Cir
Germantown, MD 20874-1587

Other practice location 1

17525 Georgia Ave
Olney, MD 20832-2311
Phone (301) 774-5433

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
LGP9003MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1972075034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12418 WALNUT COVE CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 RUSSELL AVE STE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796200",
            "telephone_number": "301-281-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17525 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208322311",
            "country_code": "US",
            "telephone_number": "301-774-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RONI",
        "middle_name": "KARLA",
        "credential": "NCC, LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP9003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.