Active NPI
Dennis Jermaine White Jr., LCDC
- Addiction (Substance Use Disorder) Counselor
- Tyler, TX
National Provider Identifier
1982531893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 16767
- Practice address
- 1411 S Bennett Ave
Tyler, TX 75701-2506 - Phone
- (903) 597-1351
- NPI assigned
- May 5, 2026
- Last updated
- May 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16767 | TX | Primary |
Addresses
Primary practice location
1411 S Bennett Ave
Tyler, TX 75701-2506
Mailing address
1411 S Bennett Ave
Tyler, TX 75701-2506
Phone (903) 535-7403
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16767 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews Center | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1982531893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 S BENNETT AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012506",
"telephone_number": "903-535-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 S BENNETT AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012506",
"telephone_number": "903-597-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DENNIS",
"middle_name": "JERMAINE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-05",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.