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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CHARLA JEANINE WHITE
NPI 1063489862
Psychologist - Clinical in Woodbridge, VA

Active since March 01, 2006PECOS Enrolled
12309 WADSWORTH WAY, WOODBRIDGE, VA 22192(571) 228-9576 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Charla Jeanine White NPPES

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

DR. CHARLA JEANINE WHITE (NPI 1063489862) is an individual clinical provider in Woodbridge, Virginia, licensed in Virginia (0810003345) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063489862
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHARLA JEANINE WHITE
Location Address12309 WADSWORTH WAYWoodbridge, VA 22192-6245
Mailing Address12309 Wadsworth WayWoodbridge, VA 22192-6245 · (703) 680-5146
Phone(571) 228-9576
Sole ProprietorYes
Enumeration DateMarch 1, 2006
Last NPPES UpdateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1063489862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810003345
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12309 WADSWORTH WAY, Woodbridge, VA 22192
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Other Names 1

Former Name (1)Charla Jeanine Wiggins Psy.d.

Other Identifiers 1

Medicaid0515622VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charla Jeanine White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Charla White reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Walston Health Services LLC
11 mi
Mental Health (Including Community Mental Health Center)
6164 FULLER CT
Alexandria, VA 22310
  • Reassigned Medicare billing, District of Columbia enrollment
  • 4 clinicians in this Medicare group
NPI 1023460912 (703) 924-9810
Supportive Care Of Maryland LLC
28 mi
Psychologist
4409 E WEST HWY
Riverdale, MD 20737
  • Reassigned Medicare billing, District of Columbia enrollment
  • 78 clinicians in this Medicare group
NPI 1447802616 (718) 298-4375
Supportive Care Of Virginia LLC
98 mi
Clinical
831 E ELLERSLIE AVE
Colonial Heights, VA 23834
  • Reassigned Medicare billing, Virginia enrollment
  • 35 clinicians in this Medicare group
NPI 1801485354 (718) 298-7345
Mental Health Specialty Group PA
205 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Virginia enrollment
  • 128 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Charla White's NPI number?

The NPI number for Charla White is 1063489862. It was assigned to this individual provider in the NPPES registry on March 1, 2006. The provider is also known as Charla Jeanine Wiggins Psy.D..

Where is Charla White located?

Charla White practices at 12309 Wadsworth Way, Woodbridge, VA 22192. The listed phone number is (571) 228-9576.

What is Charla White's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Charla White enrolled in Medicare?

Yes. Charla White is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charla White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charla White reassigns Medicare benefits to 4 organizations: Walston Health Services LLC (Alexandria, VA), Supportive Care Of Maryland LLC (Riverdale, MD), Supportive Care Of Virginia LLC (Colonial Heights, VA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charla White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charla White was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.