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JACQUELYN WHITE
NPI 1003211319
Counselor - Mental Health in Eureka, CA

Active since October 29, 2014

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2019, Nov 7, 2017, Sep 30, 2015 (3 updates tracked since 2015).

About Jacquelyn White NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN WHITE (NPI 1003211319) is an individual mental health provider in Eureka, California, licensed in California (102856) and active in the NPI registry since October 2014. She maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1003211319
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELYN WHITE
Location Address720 WOOD STEureka, CA 95501-4413
Mailing Address3960 Walnut DrEureka, CA 95503-8938
Phone(707) 268-2990
Sole ProprietorNo
Enumeration DateOctober 29, 2014
Last NPPES UpdateMay 8, 20193 updates tracked since enumeration
✔ NPI 1003211319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 102856
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
720 WOOD ST, Eureka, CA 95501
Open in Google Maps ↗

Secondary Practice Location 1

Location 13960 Walnut DrEureka, CA 95503-8938 · Phone (707) 268-8722

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ASHLEY DAWN KINMAN
Case Manager/Care Coordinator
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY INC
Psychiatry & Neurology (Neurology)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 502-5519
SHAWNA RECKINGER RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ALLISON JUDY PHILLIPS RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
AIMEE LEEANNE WOODS LVN
Licensed Vocational Nurse
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ERIC CARL VEDBORG LMFT
Marriage & Family Therapist
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2935
MS. LESLIE ANN PETERSEN
Registered Nurse
720 WOOD ST, HUMBOLDT COUNTY MENTAL HEALTH
EUREKA, CA 95501
Humboldt County (707) 445-7710
BARBARA MARY FRANKLIN RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 445-7710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn White's NPI number?

The NPI number for Jacquelyn White is 1003211319. It was assigned to this individual provider in the NPPES registry on October 29, 2014.

Where is Jacquelyn White located?

Jacquelyn White practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2990.

What is Jacquelyn White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacquelyn White was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.