Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derrick White, LPC

Individual provider Professional Counselor · NPI 1124474556

Derrick White, LPC is a Mental Health Counselor in Conway, Arkansas. Qualified in 2016, 10 years ago. Practices with Conway Counseling and Psychological Services PLLC, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Licensed in
AR
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

855 S German Ln Ste 1
Conway, AR 72034-6479
Phone: (501) 358-6606
Fax: (501) 491-0039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1422 Caldwell St Ste I, Conway, AR 72034-5319 — (501) 908-7448

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P1905056 (AR)

Record details

NPI number1124474556
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 4, 2016
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address1820 S Salem Rd Apt 3, Conway, AR 72034-8565

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Conway Counseling And Psychological Services Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Conway