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VENESA SHANIQUE WHITE
NPI 1710667928
Counselor - Mental Health in Waterbury, CT

Active since July 21, 2023PECOS Enrolled
119 WESTMONT DR, WATERBURY, CT 06708(203) 508-5069 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Jul 21, 2023 (2 updates tracked since 2023).

About Venesa Shanique White NPPES

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

VENESA SHANIQUE WHITE (NPI 1710667928) is an individual mental health provider in Waterbury, Connecticut, licensed in Connecticut (9739) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710667928
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVENESA SHANIQUE WHITE
Location Address119 WESTMONT DRWaterbury, CT 06708-2400
Mailing Address119 Westmont DrWaterbury, CT 06708-2400 · (203) 508-5069
Phone(203) 508-5069
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 21, 2023
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1710667928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 9739
119 WESTMONT DR, Waterbury, CT 06708
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Venesa Shanique White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052885605
PECOS Enrollment IDI20260706000059
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 Reassignments

2

Medicare enrollment records show Venesa White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wheeler Clinic Inc
13 mi
Mental Health (Including Community Mental Health Center)
91 NORTHWEST DRIVE
Plainville, CT 06062
  • Reassigned Medicare billing, Connecticut enrollment
  • 217 clinicians in this Medicare group
NPI 1396750840 (888) 793-3500
Grow Healthcare Group PA
1,162 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut enrollment
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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

REVIVE HOPE & WELLNESS LLC
Counselor (Mental Health)
119 WESTMONT DR
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 508-5069

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 Venesa White's NPI number?

The NPI number for Venesa White is 1710667928. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Venesa White located?

Venesa White practices at 119 Westmont Dr, Waterbury, CT 06708. The listed phone number is (203) 508-5069.

What is Venesa White's specialty?

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

Is Venesa White enrolled in Medicare?

Yes. Venesa White is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Venesa White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venesa White reassigns Medicare benefits to 2 organizations: Wheeler Clinic Inc (Plainville, CT) and Grow Healthcare Group PA (Miami, FL). Each 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 Venesa 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 Venesa White was last updated on July 6, 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.