JACK D WHITE (NPI# 1255978532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255978532 |
| Entity Type | Individual |
| Full Name | JACK D WHITE |
| Credential | CDCA |
| Practice Address |
800 Gallia St Ste 600 Portsmouth OH 45662-4097 |
| Practice Telephone | 7403534673 |
| Mailing Telephone | 7403534673 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053522383 | Jack Arnold White | Counselor | 420 Jackson Keller Rd, 2255 Horal, San Antonio, TX 78216-7147 | 2007-05-25 |
| 1467573675 | Jack Raymond White | Dentist | 2187 Garnet Ave, San Diego, CA 92109-3603 | 2007-04-03 |
| Street Address |
800 GALLIA ST STE 600 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-4097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457590531 | Angela R Tuggle | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2009-02-12 |
| 1568062859 | Chase Wagner | Case Manager/Care Coordinator | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-10-27 |
| 1497361679 | Kacee Porter | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-09-22 |
| 1679194336 | Kevin Cox | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-05-04 |
| 1295363208 | April Tedder | Case Manager/Care Coordinator | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-03-27 |
| 1366078768 | Leanne Webb | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-03-17 |
| 1851931190 | Daniel D Seal | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-01-15 |
| 1588204762 | Cynthia L Long | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2020-01-15 |
| 1538705686 | Brittany Cornell | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2019-11-25 |
| 1073158994 | Jessica Hartley | Counselor | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346858305 | Gwendolyn Daniels Slade | Counselor | 9 Canoe Ct, Portsmouth, VA 23703-5380 | 2020-07-16 |
| 1801410550 | Tequila Marie Estep | Counselor | 1870 Swauger Valley Rd, Portsmouth, OH 45662-9097 | 2020-05-28 |
| 1477174126 | Hollie Sue Maund | Counselor | 1619 Chillicothe St, Portsmouth, OH 45662-3477 | 2020-05-05 |
| 1730748260 | Mary Yost | Counselor | 212 Islington St, Portsmouth, NH 03801-4204 | 2019-06-09 |
| 1871150961 | Southern Hope Recovery Center | Counselor | 4342 Gallia St Ste A, Portsmouth, OH 45662-5563 | 2019-05-23 |
| 1851878540 | Laura K Lennex | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2018-07-25 |
| 1851880827 | Latiesha Davis Wiggins | Counselor | 355 Crawford St Ste 502, Portsmouth, VA 23704-2822 | 2018-05-06 |
| 1437667045 | Angela Dyke | Counselor | 1907 11th St, Portsmouth, OH 45662-4531 | 2018-01-17 |
| 1104338870 | Aryn Brown | Counselor | 1311 2nd St, Portsmouth, OH 45662-4602 | 2017-11-02 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.