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

Mary Angelynn White, LPCC

Individual provider Mental Health Counselor · NPI 1902983182

Mary Angelynn White, LPCC is a Mental Health Counselor in Albuquerque, New Mexico. Qualified in 1989, 37 years ago. Practices with Formation Counseling Services Inc, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
37
Licensed in
NM
In the registry since
2006
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

8600 Academy Rd NE
Albuquerque, NM 87111-1107
Phone: (505) 821-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CCMH0862 (NM)

Record details

NPI number1902983182
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESOctober 5, 2018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Formation Counseling Services Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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