MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS) – Addiction (Substance Use Disorder) Counselor, NPI 1821647959

MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS) is a healthcare provider. based in Waverly, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials BSW, CDCA, QMHS. They hold a License No. LICDC.162447 (OH). The NPI Number for MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS) is 1821647959

Main info

Female
Sole Proprietor
4 Years Of Experience
Name
MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS)
NPI
1821647959
Phone
(740) 708-4643
Address
1886 STRAIGHT CREEK RD
Enumeration Date
11 September 2019
Last Update Date
30 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
9931691102
Professional Enrollment ID
I20251125001193
Address ID
OH456623932PO411XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS)

  • 1886 STRAIGHT CREEK RD

    WAVERLY, OH 456909773

    Phone: (740) 708-4643

    Type: Mailing

  • 111, North High Street, Green Acres, Waverly City, Pike County, Ohio, 45690, United States

    WAVERLY, OH 456901343

    Phone: (740) 708-4643

    Type: Location

  • 2766 ADAMS RD

    BEAVER, OH 456133600

    Phone: (740) 708-4643

    Type: Mailing

  • 411 COURT ST

    PORTSMOUTH, OH 456623932

    Phone: (740) 354-6685

    Type: Mailing

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: 2025-11-25

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
I20251125001193IClinical Social WorkerOHTBD

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 45690)

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Reviews

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Frequently asked questions

What unique ID ties claims to MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS)?
NPI 1821647959 is assigned to MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS) under the national enumeration system.
Does this profile mean MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS) is currently active?
Yes — MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS) appears active in the national provider directory.
Does MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS) list a primary specialty?
If you are matching referrals, note Addiction (Substance Use Disorder) Counselor for MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS). Clinical services aligned with this taxonomy classification.
Where is MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS)'s primary listing?
We display Waverly, Ohio because that is what the record indicates for MRS. JESSIE LYNN COLTER I WHITE (BSW, CDCA, QMHS).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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