AMY LICKENBROCK WHITE MHS, CCC-SLP
NPI 1730604109
Speech-Language Pathologist in Lowell, AR
About Amy Lickenbrock White Mhs, Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY LICKENBROCK WHITE MHS, CCC-SLP (NPI 1730604109) is an individual speech-language pathologist provider in Lowell, Arkansas, licensed in Arkansas (2017026191) and active in the NPI registry since August 2017. She is a graduate of Other (2017).
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)
Amy Lickenbrock White Mhs, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rogers, AR 72756
- Reassigned Medicare billing, Arkansas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Amy White's NPI number?
The NPI number for Amy White is 1730604109. It was assigned to this individual provider in the NPPES registry on August 7, 2017.
Where is Amy White located?
Amy White practices at 1412 Park St, Lowell, AR 72745. The listed phone number is (479) 379-2827.
What is Amy White's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Amy White enrolled in Medicare?
Yes. Amy White is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy White reassigns Medicare benefits to Amy White Adult Speech Therapy Services PLLC (Rogers, 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 Amy 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 Amy White was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Amy Lickenbrock White, MHS, CCC-SLP · NPI 1730604109
Speech-Language Pathologist provider in Lowell, Arkansas. Individual provider, active in the CMS NPPES registry since August 7, 2017.
## Identity
- **NPI:** 1730604109 (Entity type: Individual)
- **Enumerated:** August 7, 2017
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 2017026191 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1412 PARK ST, Lowell, AR 72745-6028
- **Phone:** (479) 379-2827
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Amy White Adult Speech Therapy Services PLLC (NPI 1336079771, Rogers, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730604109) · Data from the CMS NPPES public registry.