DR. KELLY WHITE (NPI# 1710518493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710518493 |
| Entity Type | Individual |
| Full Name | DR. KELLY WHITE |
| Credential | PHD |
| Practice Address |
44 Cooper St Ste 109 Woodbury NJ 08096-4642 |
| Practice Telephone | 8564042248 |
| Practice Fax Number | 8564941345 |
| Mailing Telephone | 8564042248 |
| Mailing Fax Number | 8564941345 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37AC00466000 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861073 | Kelly Marie White | Private Vehicle | 4498 King Arthur Dr, Uniontown, OH 44685-9646 | 2020-11-02 |
| 1265050934 | Kelly Elise White | Nurse Practitioner | 3500 Healthplex Pkwy Ste 200, Norman, OK 73072-9738 | 2020-07-09 |
| 1437796711 | Kelly White | Nurse Practitioner | 11344 S 83rd East Ave, Bixby, OK 74008-2408 | 2019-12-05 |
| 1518432061 | Kelly White | Counselor | 1417 Nw 54th St Ste 441, Seattle, WA 98107-3561 | 2018-10-11 |
| 1396273801 | Kelly Grace White | Social Worker | 41 Spruce St, Northford, CT 06472-1437 | 2017-05-28 |
| 1619404118 | Kelly White | Registered Nurse | N7382 Beaver Bay Dr, Beaver Dam, WI 53916-9532 | 2017-05-15 |
| 1619333036 | Kelly White | Social Worker | 7200 Gumwood Ln, Raleigh, NC 27615-5615 | 2016-01-14 |
| 1801261292 | Kelly H White | Counselor | 604 Highway 80 W Ste R, Clinton, MS 39056-4108 | 2015-12-10 |
| 1790178580 | Kelly White | Social Worker | 210 N Gilmor St Apt B, Baltimore, MD 21223-1732 | 2015-03-18 |
| 1508160219 | Kelly Ann White | Social Worker | 15222 Sunset Way, Choctaw, OK 73020-7565 | 2011-01-10 |
| Street Address |
44 COOPER ST STE 109 |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-4642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1891324919 | Amy Ellen Degirolamo | Counselor | 45 Euclid St Ste 201, Woodbury, NJ 08096-4631 | 2020-04-02 |
| 1649815614 | Summer Counseling and Behavioral Health Summer Counseling | Counselor | 1687 Woodlane Dr Ste 208, Woodbury, MN 55125-3047 | 2019-11-13 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1003328816 | Kathleen Engh | Counselor | 6063 Hudson Rd Ste 200, Woodbury, MN 55125-4455 | 2017-11-02 |
| 1780196964 | Tammy Jean Weinke | Counselor | 10300 City Walk Dr Unit 432, Woodbury, MN 55129-6953 | 2017-10-28 |
| 1811416688 | Family Care Connections, LLC | Counselor | 44 Cooper St Ste 6, Woodbury, NJ 08096-4653 | 2017-09-13 |
| 1619495827 | Rachel Champeau Sneve | Counselor | 2165 Woodlane Dr Ste 200, Woodbury, MN 55125-2915 | 2017-09-07 |
| 1184140022 | Marcus Meara | Counselor | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2017-08-22 |
| Find all providers in WOODBURY | ||||
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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.