JACOB MATTHEW WHITE (NPI# 1073909719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073909719 |
| Entity Type | Individual |
| Full Name | JACOB MATTHEW WHITE |
| Credential | MS LPC NCC |
| Practice Address |
213 W Monroe Ave Suite Q Lowell AR 72745-9451 |
| Mailing Address |
213 W Monroe Ave. Suite Q Lowell AR 72745 |
| Practice Telephone | 4793207100 |
| Mailing Telephone | 4793207100 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1503018 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194289892 | Jacob White | Specialist/Technologist | 580 Commonwealth Ave Unit 501, Boston, MA 02215-2509 | 2019-01-27 |
| 1386969210 | Jacob White | Radiology | 1264 Saint Nicholas Ave, New York, NY 10033-7263 | 2010-04-04 |
| 1689217044 | Jacob White | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-17 |
| 1790343382 | Jacob White | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2019-05-30 |
| 1295391944 | Jacob White IIi | Peer Specialist | 16 W Long St, Columbus, OH 43215-2815 | 2019-05-17 |
| 1548735079 | Jacob Vaughn White | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-10-11 |
| 1003304387 | Jacob Richard White | Student in an Organized Health Care Education/Training Program | 3420 Fifth Avenue, Pittsburgh, PA 15213 | 2018-04-23 |
| 1265818884 | Jacob Jonathan White | Physician Assistant | 5645 W Addison St, Chicago, IL 60634-4403 | 2015-08-05 |
| 1831506351 | Jacob Christopher White | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2014-07-16 |
| 1205118569 | Jacob Garrett White | Social Worker | 859 Willard St, Quincy, MA 02169 | 2011-09-13 |
| Street Address |
213 W MONROE AVE SUITE Q |
| City | LOWELL |
| State | AR |
| Zip Code | 72745-9451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225083181 | Kathy L. Mayhew, D.o., Pa | Family Medicine | 213 W Monroe Ave, Suite P, Lowell, AR 72745-9451 | 2006-05-22 |
| 1992196190 | Present Day Health Pa | Clinic/Center | 213 W Monroe Ave, Ste Q, Lowell, AR 72745-9451 | 2015-02-10 |
| 1649688565 | Christeena Pershall | Physical Therapy Assistant | 213 W Monroe Ave, Suite C, Lowell, AR 72745-9451 | 2014-07-23 |
| 1639504541 | Payal Patel | Physical Therapist | 213 W Monroe Ave, Ste C, Lowell, AR 72745-9451 | 2013-09-10 |
| 1003240086 | All About Kids Therapy Center | Physical Therapist | 213 W Monroe Ave, Ste C, Lowell, AR 72745-9451 | 2013-08-27 |
| 1124367826 | Lauren Brenaman | Speech-Language Pathologist | 213 W Monroe Ave, Ste C, Lowell, AR 72745-9451 | 2013-01-31 |
| 1235475468 | Shara Lynn Manning | Occupational Therapist | 213 W Monroe Ave, Lowell, AR 72745-9451 | 2012-12-16 |
| 1578501300 | Kathy Lynn Mayhew | Family Medicine | 213 W Monroe Ave, Suite P, Lowell, AR 72745-9451 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442706 | Harps Food Stores, Inc. | Pharmacy | 916 W Monroe Ave., Lowell, AR 72745 | 2018-10-03 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1306398151 | Keegan Sutton | Occupational Therapist | 612 S Lincoln, Ste A, Lowell, AR 72745 | 2016-10-27 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1407094220 | Dr. Angela Moore Family Chiropractic, P.l.c. | Chiropractor | 117 S Dixieland St, Ste B, Lowell, AR 72745 | 2009-02-02 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1356593479 | University of Arkansas for Medical Sciences | Registered Nurse | 519 Latham Drive, Lowell, AR 72745 | 2008-10-21 |
| 1912039827 | Looper Chiropractic Pa | Chiropractor | 200 S Bloomington, Ste I, Lowell, AR 72745 | 2007-03-09 |
| Find all providers in zip 72745 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003110990 | Andrew Keodara Phomthavong | Counselor | 298 Walker Street, Lowell, MA 01851 | 2011-01-06 |
| 1477867075 | Adam Jacob Martin | Counselor | 2118 Sandpiper Ave, Lowell, AR 72745-8673 | 2010-08-06 |
| 1235301227 | Teresa Raper Collins | Counselor | 2012 Alton Ct, Lowell, NC 28098-2205 | 2008-03-31 |
| 1902096498 | Ryan M Frederick | Counselor | 515 Enterprise Dr 300, Lowell, AR 72745-8982 | 2007-07-31 |
| 1386653723 | Amy Michelle Adams | Counselor | 821 Paradise Pl, Lowell, AR 72745-9312 | 2006-08-05 |
| 1528001955 | Susan Denise Walker | Counselor | 322d N Bloomington St, Lowell, AR 72745-9136 | 2006-06-14 |
| 1902410038 | Giovana Sacchetto Lippi | Counselor | 77 E Merrimack St, Lowell, MA 01852-1251 | 2020-09-04 |
| 1356976286 | Lee Weeks | Counselor | 11630 Fulton St E, Lowell, MI 49331-9426 | 2020-03-11 |
| 1629614862 | Jose A Dominguez | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-22 |
| 1902454143 | Laken Rachelle Colby | Counselor | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2019-08-30 |
| Find all providers in LOWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.