MR. JEFF NICHOLAS WHITE LPC
NPI 1972354140
Counselor - Professional in Dallas, GA
About Mr. Jeff Nicholas White Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEFF NICHOLAS WHITE LPC (NPI 1972354140) is an individual professional provider in Dallas, Georgia, licensed in Georgia (014061) and active in the NPI registry since March 2024. He has opted out of Medicare through March 29, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Jeff Nicholas White Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 29, 2024 through March 29, 2028.
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 Jeff White's NPI number?
The NPI number for Jeff White is 1972354140. It was assigned to this individual provider in the NPPES registry on March 27, 2024.
Where is Jeff White located?
Jeff White practices at 814 Blackberry Run Trl, Dallas, GA 30132. The listed phone number is (719) 930-7844.
What is Jeff White's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jeff White enrolled in Medicare?
No. Jeff White has opted out of Medicare through March 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jeff White was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mr. Jeff Nicholas White, LPC · NPI 1972354140
Professional provider in Dallas, Georgia. Individual provider, active in the CMS NPPES registry since March 27, 2024.
## Identity
- **NPI:** 1972354140 (Entity type: Individual)
- **Enumerated:** March 27, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 014061 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 814 BLACKBERRY RUN TRL, Dallas, GA 30132-2131
- **Phone:** (719) 930-7844
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972354140) · Data from the CMS NPPES public registry.