MR. RANDY KEITH WHITE LPC
NPI 1689633778
Social Worker in Texarkana, AR

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
2904 ARKANSAS BLVD, TEXARKANA, AR 71854(870) 773-4655(870) 772-4650 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Mr. Randy Keith White Lpc NPPES

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

MR. RANDY KEITH WHITE LPC (NPI 1689633778) is an individual social worker in Texarkana, Arkansas, licensed in Arkansas (1269-B) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1689633778
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. RANDY KEITH WHITECredential: LPC
Location Address2904 ARKANSAS BLVDTexarkana, AR 71854-2536
Mailing Address2904 Arkansas BlvdTexarkana, AR 71854-2536 · (870) 773-4655 · Fax (870) 772-4650
Fax(870) 772-4650
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateMarch 20, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1689633778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in AR · 1269-B
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License P0603014 (AR)
2904 ARKANSAS BLVD, Texarkana, AR 71854

Accepted 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

Mr. Randy Keith 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 ID749744944
PECOS Enrollment IDI20260709000648
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 Randy White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
2904 ARKANSAS BLVD
Texarkana, AR 71854
  • Reassigned Medicare billing, Arkansas enrollment
  • 15 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.

Counselor
2904 ARKANSAS BLVD
TEXARKANA, AR 71854
Case Manager/Care Coordinator
2904 ARKANSAS BLVD
TEXARKANA, AR 71854
Social Worker (Clinical)
2904 ARKANSAS BLVD
TEXARKANA, AR 71854
Registered Nurse
2904 ARKANSAS BLVD
TEXARKANA, AR 71854
Licensed Practical Nurse
2904 ARKANSAS BLVD
TEXARKANA, AR 71854
Case Manager/Care Coordinator
2904 ARKANSAS BLVD
TEXARKANA, AR 71854
Registered Nurse
2904 ARKANSAS BLVD
TEXARKANA, AR 71854
Case Manager/Care Coordinator
2904 ARKANSAS BLVD
TEXARKANA, AR 71854

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 Randy White's NPI number?

The NPI number for Randy White is 1689633778. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Randy White located?

Randy White practices at 2904 Arkansas Blvd, Texarkana, AR 71854. The listed phone number is (870) 773-4655.

What is Randy White's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Randy White enrolled in Medicare?

Yes. Randy 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 Randy White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy White reassigns Medicare benefits to Southwest Arkansas Counseling And Mental Health Center, Inc (Texarkana, AR). 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 Randy White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy White accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Randy 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 Randy White was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.