JASON WHITE
NPI 1205642022
Counselor - Mental Health in Scotia, NY
About Jason White NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON WHITE (NPI 1205642022) is an individual mental health provider in Scotia, New York and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jason White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scotia, NY 12302
- Reassigned Medicare billing, New York enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Jason White's NPI number?
The NPI number for Jason White is 1205642022. It was assigned to this individual provider in the NPPES registry on December 6, 2024.
Where is Jason White located?
Jason White practices at 220 N Ballston Ave, Scotia, NY 12302. The listed phone number is (518) 374-3514.
What is Jason White's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jason White enrolled in Medicare?
Yes. Jason White is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jason White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason White reassigns Medicare benefits to Samaritan Licensed Clinical Social Work, PC (Scotia, NY). The 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 Jason 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 Jason White was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Jason White · NPI 1205642022
Mental Health provider in Scotia, New York. Individual provider, active in the CMS NPPES registry since December 6, 2024.
## Identity
- **NPI:** 1205642022 (Entity type: Individual)
- **Enumerated:** December 6, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 220 N BALLSTON AVE, Scotia, NY 12302-2533
- **Phone:** (518) 374-3514
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Samaritan Licensed Clinical Social Work, PC (NPI 1841396884, Scotia, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205642022) · Data from the CMS NPPES public registry.