Derrick White, LPC
NPI 1124474556ActiveIndividual· Counselor, Professional· Conway, AR
Counselor, Professional (LPC) with Conway Counseling and Psychological Services PLLC, practicing in Conway, Arkansas. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1124474556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | May 4, 2016 |
| Last updated in NPPES | May 4, 2023 |
| Certified by provider | May 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | P1905056 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AR) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Conway Counseling and Psychological Services PLLCConway, AR · 30 clinicians
Other professional counselors in Conway
- 1144320516
- 1194076737
- 1316461510
- 1356144901
- 1447862131
- 1528454139
- 1619543048
- 1700750452
- 1760300594
- 1801456850
- 1831082692
- 1851702724
All 74 professional counselors in Conway · All professional counselors in Arkansas