TERESA KAY WHITE LPC - NPI 1073751301 - Counselor in Mountain Home, AR

Q: What is Teresa White's NPI number?

The NPI number for Teresa White is 1073751301. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Q: What is Teresa White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Teresa White was last updated on July 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Teresa Kay White Lpc NPPES

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

TERESA KAY WHITE LPC (NPI 1073751301) is an individual professional provider in Mountain Home, Arkansas, licensed in Arkansas (P2307005) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Plains, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073751301

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTERESA KAY WHITECredential: LPC

Location Address860 HIGHWAY 62 E STE 10Mountain Home, AR 72653-3200

Mailing Address1404 Southern Hills Ctr, Pmb400West Plains, MO 65775-2955 · (417) 942-8230 · Fax (314) 667-3621

Phone(870) 701-1400

Fax(314) 667-3621

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateJanuary 23, 2009

Last NPPES UpdateJuly 19, 20244 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1073751301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in AR · P2307005✔ Licensed in OH · E.2303663✔ Licensed in NV · CP5528-R✔ Licensed in KS · 2037✔ Licensed in NE · 2900✔ Licensed in AZ · LPC-22238✔ Licensed in UT · 13276553-6004✔ Licensed in MO · 2011039625

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC-22238 (AZ)

860 HIGHWAY 62 E STE 10, Mountain Home, AR 72653

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Secondary Practice Location 1

Location 11404 Southern Hills Drive, PMB#400West Plains, MO 65775 · Phone (945) 328-7170 · Fax (314) 667-3621

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Kay White Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759730633

PECOS Enrollment IDI20231218004209

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.

Other Providers at the Same Location NPPES 10

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

TALLI VANCE MOTR/L

Occupational Therapist