KEONDERICK A. WHITE
NPI 1043854573
Counselor in Springfield, MA

Active since October 28, 2019
417 LIBERTY ST, SPRINGFIELD, MA 01104(413) 733-6661(413) 733-7841 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keonderick A. White NPPES

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

KEONDERICK A. WHITE (NPI 1043854573) is an individual counselor in Springfield, Massachusetts and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1043854573
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEONDERICK A. WHITE
Location Address417 LIBERTY STSpringfield, MA 01104-3736
Mailing Address417 Liberty StSpringfield, MA 01104-3736 · (413) 733-6661 · Fax (413) 733-7841
Fax(413) 733-7841
Sole ProprietorNo
Enumeration DateOctober 28, 2019
NPI 1043854573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
417 LIBERTY ST, Springfield, MA 01104

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.

Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Registered Nurse
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor (Addiction (Substance Use Disorder))
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Nurse Practitioner (Psychiatric/Mental Health)
417 LIBERTY ST
SPRINGFIELD, MA 01104

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 Keonderick White's NPI number?

The NPI number for Keonderick White is 1043854573. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Keonderick White located?

Keonderick White practices at 417 Liberty St, Springfield, MA 01104. The listed phone number is (413) 733-6661.

What is Keonderick White's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Keonderick White was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.