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CONSTANCE RENAE WHITE MA
NPI 1649619537
Counselor in Crystal Lake, IL

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
500 COVENTRY LN STE 130, CRYSTAL LAKE, IL 60014(815) 889-0582(815) 205-4083 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Constance Renae White Ma NPPES

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

CONSTANCE RENAE WHITE MA (NPI 1649619537) is an individual counselor in Crystal Lake, Illinois and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1649619537
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCONSTANCE RENAE WHITECredential: MA
Location Address500 COVENTRY LN STE 130Crystal Lake, IL 60014-7578
Mailing Address2707 3 Oaks Rd Unit 932Cary, IL 60013-3525 · (224) 432-6419
Phone(815) 889-0582
Fax(815) 205-4083
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2013
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1649619537 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.
500 COVENTRY LN STE 130, Crystal Lake, IL 60014
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Other Names 1

Former Name (1)Constance Renae Burden

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Constance Renae White Ma 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 ID3779027768
PECOS Enrollment IDI20240702000106
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 Reassignment

Medicare enrollment records show Constance White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geek Therapy Guild PLLC
Same address
Clinical
500 COVENTRY LN STE 130
Crystal Lake, IL 60014
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1710749353 (815) 889-0582

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 5

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

BODYSHOP PROFESSIONAL MASSAGE THERAPY
Massage Therapist
500 COVENTRY LN STE 130
CRYSTAL LAKE, IL 60014
McHenry County (630) 446-0110
MEGAN ALVAREZ LCPC
Counselor (Professional)
500 COVENTRY LN STE 130
CRYSTAL LAKE, IL 60014
McHenry County (815) 453-8966
GEEK THERAPY GUILD PLLC
Social Worker (Clinical)
500 COVENTRY LN STE 130
CRYSTAL LAKE, IL 60014
McHenry County (815) 889-0582
LINDA HADLOCK LCSW
Social Worker (Clinical)
500 COVENTRY LN STE 130
CRYSTAL LAKE, IL 60014
McHenry County (815) 998-8674
ANTIONETTE M MEREDITH LMT
Massage Therapist
500 COVENTRY LN STE 130
CRYSTAL LAKE, IL 60014
McHenry County (630) 418-4440

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 Constance White's NPI number?

The NPI number for Constance White is 1649619537. It was assigned to this individual provider in the NPPES registry on June 24, 2013. The provider is also known as Constance Renae Burden.

Where is Constance White located?

Constance White practices at 500 Coventry Ln Ste 130, Crystal Lake, IL 60014. The listed phone number is (815) 889-0582.

What is Constance White's specialty?

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

Is Constance White enrolled in Medicare?

Yes. Constance White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Constance White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Constance White reassigns Medicare benefits to Geek Therapy Guild PLLC (Crystal Lake, IL). 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 Constance White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Constance White accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Constance White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Constance White was last updated on December 4, 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.