BRENDA K. WHITE (NPI# 1134457476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134457476 |
| Entity Type | Individual |
| Full Name | BRENDA K. WHITE |
| Credential | LCPC |
| Practice Address |
402 W Boughton Rd Suite G Bolingbrook IL 60440-1872 |
| Practice Telephone | 3129716653 |
| Mailing Telephone | 3129716653 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2015-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.009144 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF ILLINOIS - LCPC | 180.009144 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501313 | Brenda White | Specialist/Technologist | 1 College Ave Ste 3033, Mechanicsburg, PA 17055-6807 | 2019-07-29 |
| 1295258010 | Brenda White | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21180 Gentner St, Warren, MI 48089-3437 | 2017-07-24 |
| 1780855882 | Brenda White | Registered Nurse | 1502 Baytree Ter, Mitchellville, MD 20721-2384 | 2008-03-17 |
| 1467633800 | Brenda Denise White | Dietitian, Registered | Wramc 6900 Georgia Avenue Nw, Washington, DC 20307-0001 | 2007-11-14 |
| 1518085232 | Brenda White | Social Worker | 2408 W Maldonado Rd, Phoenix, AZ 85041-6425 | 2007-03-27 |
| 1982792164 | Brenda J White | Chiropractor | 401 N Union St, Dodgeville, WI 53533-1347 | 2006-10-11 |
| 1427434372 | Brenda S. White | Case Manager/Care Coordinator | 1106 N 155th St, Suite B, Basehor, KS 66007-7100 | 2015-08-03 |
| 1598156770 | Brenda Sue White | Licensed Practical Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2015-02-10 |
| 1285982363 | Brenda Carolina White | Nurse Practitioner | 80 Seymour St, Hartford Hospital Surgery Dept, Hartford, CT 06102-5037 | 2012-08-21 |
| 1821363110 | Brenda M White | Registered Nurse | 1932 Arthur Ave, Room403b, Bronx, NY 10457-6306 | 2012-03-20 |
| Street Address |
402 W BOUGHTON RD SUITE G |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539942 | Joel A Chinnici | Chiropractor | 402 W Boughton Rd, Bolingbrook, IL 60440-1872 | 2005-06-27 |
| 1275060931 | Optimalab Inc | Clinical Medical Laboratory | 402 W Boughton Rd, Suite E, Bolingbrook, IL 60440-1872 | 2017-05-12 |
| 1124498266 | Essential Elements Counseling | Community/Behavioral Health | 402 W Boughton Rd, Suite G, Bolingbrook, IL 60440-1872 | 2015-10-01 |
| 1467669374 | Advanced Allergy & Asthma Clinic S C | Allergy & Immunology | 402 W Boughton Rd, Suite F-1, Bolingbrook, IL 60440-1872 | 2007-05-17 |
| 1265563548 | Burton G. Pinchuk, O.d.,p.c. | Optometrist | 402 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1872 | 2007-03-08 |
| 1326196411 | Manuel Alaban Malicay | Internal Medicine | 402 W Boughton Rd, F, Bolingbrook, IL 60440-1872 | 2007-01-08 |
| 1912001967 | Bolingbrook Pharmacy Inc | Pharmacy | 402 W Boughton Rd, Ste C, Bolingbrook, IL 60440-1872 | 2006-09-12 |
| 1942220256 | Blair Tanaka, Inc. | Optometrist | 402 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1872 | 2006-07-20 |
| 1760431324 | Burton Gene Pinchuk | Optometrist | 402 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1872 | 2006-05-09 |
| 1912997933 | Naveed Akhtar | Internal Medicine | 402 W Boughton Rd, Suite F-1, Bolingbrook, IL 60440-1872 | 2005-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479866 | Donald Mitckess | Counselor | 672 Londonberry Ln, Bolingbrook, IL 60440-1017 | 2020-08-26 |
| 1144830605 | Timothy Moore | Counselor | 150 Queenswood Rd, Bolingbrook, IL 60440-2578 | 2020-08-08 |
| 1588170195 | Deborah Burrell | Counselor | 682 W Boughton Rd Ste B, Bolingbrook, IL 60440-2199 | 2017-12-18 |
| 1003345448 | Elianna Barrios | Counselor | 440 W Boughton Rd Ste E, Bolingbrook, IL 60440-2391 | 2017-06-08 |
| 1629526793 | Danny Spiros Sourbis | Counselor | 665 Londonberry Ln, Bolingbrook, IL 60440-1061 | 2016-09-16 |
| 1528414976 | Kiyana Jackson | Counselor | 1175 Lily Cache Ln, Bolingbrook, IL 60490-3122 | 2016-05-04 |
| 1881096949 | Revisions Counseling Services, LLC | Counselor | 190 Lily Cache Ln, Bolingbrook, IL 60440-3415 | 2014-09-20 |
| 1255666707 | Jenna Lynn Fash | Counselor | 684 W Boughton Rd Ste 106, Bolingbrook, IL 60440-1781 | 2009-10-15 |
| 1093970824 | Geaniece Denece Carter | Counselor | 316c Woodcreek Dr, Suite 106, Bolingbrook, IL 60440-3305 | 2008-07-21 |
| 1932377785 | Peggy Sue Glotzbach | Counselor | 432 Justine Ave, Bolingbrook, IL 60440-2221 | 2008-02-14 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on BRENDA K. WHITE.
| 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.