Individual provider

Nina White, PHD, LPC, LMHC, NCC

Professional Counselor Mental Health Counselor

Nina White, PHD, LPC, LMHC, NCC is a Professional Counselor in Douglasville, GA, registered under NPI 1104845965. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4813 RIDGE RD STE 113, Douglasville, GA 30134. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4813 RIDGE RD STE 113, Douglasville, GA 30134 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
LPC007084 GA Professional Counselor primary
LMH6619 FL Mental Health Counselor

Licences are recorded in 2 states: GA, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Georgia. The practice address on file is in Douglasville, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida
Licence
LMH6619
Specialty
Mental Health Counselor
Verify with the FL board →
GA Georgia practice address
Licence
LPC007084
Specialty
Professional Counselor
Verify with the GA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional LPC007084 GA primary
101YM0800X Mental Health Counselor Mental Health LMH6619 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104845965 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 19, 2006
Last updatedOct 17, 2025
StatusActive
Sole proprietorYes
CredentialPHD, LPC, LMHC, NCC
Practice address 4813 RIDGE RD STE 113
Douglasville, GA 30134
(470) 567-9191
Fax (404) 905-6336
Mailing address PO BOX 1018
Hiram, GA 30141
This record was updated on Oct 17, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104845965 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 4 5 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 4 1 9 3

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104845965?
NPI 1104845965 is the National Provider Identifier assigned to Nina White, PHD, LPC, LMHC, NCC in Douglasville, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Nina White, PHD, LPC, LMHC, NCC?
The phone number on file with NPPES is (470) 567-9191, last updated Oct 17, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104845965 a valid number?
Yes. 1104845965 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.