MR. CLEOTIS WHITE (NPI# 1619229317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619229317 |
| Entity Type | Individual |
| Full Name | MR. CLEOTIS WHITE |
| Credential | M.S.W., L.C.A.C. |
| Practice Address |
2646 Highway Ave Ste 108 Highland IN 46322 |
| Mailing Address |
2646 Highway Ave Ste 108 Highland IN 46322-1662 |
| Practice Telephone | 2198011789 |
| Practice Fax Number | 2195139506 |
| Mailing Telephone | 2198011789 |
| Mailing Fax Number | 2195139506 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87000827A | IN | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
CII-1752 | IN | Behavioral Health & Social Service Providers |
| Street Address |
2646 HIGHWAY AVE STE 108 |
| City | HIGHLAND |
| State | IN |
| Zip Code | 46322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431733 | Marielva Banks | Physician Assistant | 10343 Indianapolis Blvd Ste 104, Highland, IN 46322 | 2017-08-03 |
| 1467806596 | Archangel Home Care Inc | Home Health | 2148 45th Ste 205, Highland, IN 46322 | 2016-04-14 |
| 1427457886 | Veronica Addison | Community/Behavioral Health | 219 Indianapolis Blvd, Ste B, Highland, IN 46322 | 2014-08-21 |
| 1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
| 1043648207 | Wahbi Adad | Specialist | 8732 Woodward Ave, Highland, IN 46322 | 2013-10-28 |
| 1912278904 | Noble Home Health Care LLC | Home Health | 2449 45th St, Suite D, Highland, IN 46322 | 2012-01-23 |
| 1891926531 | Saket B Sinha | Internal Medicine | 9030 Cline Ave, Highland, IN 46322 | 2009-07-29 |
| 1194998963 | Affordable Hearing Aid Center | Hearing Instrument Specialist | 2148 45th St, Highland, IN 46322 | 2008-04-11 |
| 1497954390 | Highland Clinic of Northwest Indiana Inc | General Practice | 2834 Highway Ave Ste 1, Highland, IN 46322 | 2007-07-12 |
| 1609072677 | Northwest Indiana Podiatry Clinic, LLC | Assistant, Podiatric | 3100 45th Ave, Highland, IN 46322 | 2007-06-26 |
| Find all providers in zip 46322 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007631 | Thomas Fraze | Counselor | 9340 Saric Dr, Highland, IN 46322-2941 | 2014-06-10 |
| 1700297827 | Natasha Christiane Gerren | Counselor | 29334 Silverfern Place, Highland, CA 92346 | 2014-05-12 |
| 1033314539 | Arthur Williams | Counselor | 3654 Highland Ave, Suite 23 & 24, Highland, CA 92346-2614 | 2007-06-15 |
| 1679782270 | Susana L Alvarado | Counselor | 3654 Highland Ave Ste 23-24, Highland, CA 92346-2614 | 2007-05-21 |
| 1497889927 | Susan Marie Gill | Counselor | 2178 Pine Bluffs Ct, Highland, MI 48357-4328 | 2007-03-15 |
| 1356471221 | Vista Guidance Centers, Inc. | Counselor | 3654 Highland Ave Ste 24, Highland, CA 92346-2614 | 2007-03-07 |
| 1861592248 | Anne Marie Nocerino | Counselor | 106 Vineyard Avenue, Highland, NY 12528-1422 | 2006-09-25 |
| 1659914950 | Kasey Ramoth | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1407499700 | Rebeca Freyre | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1316580616 | Angela Gastio | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| Find all providers in HIGHLAND | ||||
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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.