MS. FAY WHITE (M.ED., LADC 1) – Addiction (Substance Use Disorder) Counselor, NPI 1568792935

MS. FAY WHITE (M.ED., LADC 1) is a healthcare provider. based in Dorchester, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED., LADC 1. They hold a License No. 18180 (MA). The NPI Number for MS. FAY WHITE (M.ED., LADC 1) is 1568792935

Main info

Female
Sole Proprietor
16 Years Of Experience
Name
MS. FAY WHITE (M.ED., LADC 1)
NPI
1568792935
Phone
(617) 822-5133
Address
58 ESMOND ST
Enumeration Date
7 January 2010
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8572121436
Graduation Year
2010 (16 years ago)
PAC ID
3678060225
Professional Enrollment ID
I20251016001836
Address ID
MA021214006DO58XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

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Provider Addresses for MS. FAY WHITE (M.ED., LADC 1)

  • 58, Esmond Street, Dorchester, Boston, Suffolk County, Massachusetts, 02121, United States

    DORCHESTER, MA 021214006

    Phone: (617) 822-5133

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251016001836IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02121)

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Reviews

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Frequently asked questions

Does MS. FAY WHITE (M.ED., LADC 1) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. FAY WHITE (M.ED., LADC 1) uses 1568792935.
Does CMS list MS. FAY WHITE (M.ED., LADC 1) as active?
Yes — MS. FAY WHITE (M.ED., LADC 1) is active in the NPI listing used on this page.
What is MS. FAY WHITE (M.ED., LADC 1) best known for clinically?
Directory data describes MS. FAY WHITE (M.ED., LADC 1) with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Does MS. FAY WHITE (M.ED., LADC 1) list a practice location?
Patients near Dorchester, Massachusetts may find MS. FAY WHITE (M.ED., LADC 1) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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