REBECCA WHITE MA, LMHC
NPI 1104325570
Counselor - Mental Health in Orlando, FL

Active since February 12, 2018Opted out of Medicare · through Mar 15, 2028
3452 LAKE LYNDA DR STE 120, ORLANDO, FL 32817(800) 736-3739 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebecca White Ma, Lmhc NPPES

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

REBECCA WHITE MA, LMHC (NPI 1104325570) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH14512) and active in the NPI registry since February 2018. She has opted out of Medicare through March 15, 2028.

NPPES Registry Identity

NPI1104325570
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA WHITECredential: MA, LMHC
Location Address3452 LAKE LYNDA DR STE 120Orlando, FL 32817-1472
Mailing Address1025 Hummingbird LnPeotone, IL 60468-9830 · (708) 362-2256
Sole ProprietorNo
Enumeration DateFebruary 12, 2018
NPI 1104325570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in FL · MH14512 Licensed in IL · 178.005416 Licensed in IL · 272.00104 Licensed in IL · 217.000115
3452 LAKE LYNDA DR STE 120, Orlando, FL 32817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Rebecca White Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2024 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2024
Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
3452 LAKE LYNDA DR STE 120
ORLANDO, FL 32817
Student in an Organized Health Care Education/Training Program
3452 LAKE LYNDA DR STE 120
ORLANDO, FL 32817
Dietitian, Registered
3452 LAKE LYNDA DR STE 120
ORLANDO, FL 32817
Counselor (Mental Health)
3452 LAKE LYNDA DR STE 120
ORLANDO, FL 32817
Counselor (Mental Health)
3452 LAKE LYNDA DR STE 120
ORLANDO, FL 32817
Student in an Organized Health Care Education/Training Program
3452 LAKE LYNDA DR STE 120
ORLANDO, FL 32817
Counselor
3452 LAKE LYNDA DR STE 120
ORLANDO, FL 32817

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 Rebecca White's NPI number?

The NPI number for Rebecca White is 1104325570. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Rebecca White located?

Rebecca White practices at 3452 Lake Lynda Dr Ste 120, Orlando, FL 32817. The listed phone number is (800) 736-3739.

What is Rebecca White's specialty?

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

Is Rebecca White enrolled in Medicare?

No. Rebecca White has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca White was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.