EBONY WHITE LPC
NPI 1831875624
Counselor - Professional in Marlton, NJ

Q: What is Ebony White's NPI number?

The NPI number for Ebony White is 1831875624. It was assigned to this individual provider in the NPPES registry on June 26, 2023. The provider is also known as Ebony Williams Lac.

Q: What is Ebony White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Ebony White was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 26, 2023PECOS Enrolled

765 ROUTE 70 E BLDG A, MARLTON, NJ 08053(856) 797-4771(856) 797-4785 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ebony White Lpc NPPES

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

EBONY WHITE LPC (NPI 1831875624) is an individual professional provider in Marlton, New Jersey, licensed in New Jersey (37PC01098300) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ewing.

NPPES Registry Identity

NPI1831875624

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameEBONY WHITECredential: LPC

Location Address765 ROUTE 70 E BLDG AMarlton, NJ 08053-2341

Mailing Address765 Route 70 E Bldg AMarlton, NJ 08053-2341 · (856) 797-4771 · Fax (856) 797-4785

Phone(856) 797-4771

Fax(856) 797-4785

Sole ProprietorYes

Enumeration DateJune 26, 2023

Last NPPES UpdateMarch 24, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1831875624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NJ · 37PC01098300

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 37AC00513400 (NJ)

Also ListedSocial WorkerTaxonomy 104100000X · License 37AC00513400 (NJ)

765 ROUTE 70 E BLDG A, Marlton, NJ 08053

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Other Names 1

Former Name (1)Ebony Williams Lac

Secondary Practice Location 1

Location 11901 N. Olden Ave. Suite 29Ewing, NJ 08618 · Phone (609) 237-7100 · Fax (609) 616-7904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

MRS. NICOLE M HENDERSON-COLE MSN, APN-BC

Nurse Practitioner (Psychiatric/Mental Health)