Mr Randy Keith White, LPC is a medicare enrolled "Social Worker" provider in Texarkana, Arkansas. He graduated from healthcare school in 1979 and has 47 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Southwest Arkansas Counseling And Mental Health Center, Inc and his current practice location is
2904 Arkansas Blvd, Texarkana, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 773-4655.
Mr Randy Keith White is licensed to practice in Arkansas (license number 1269-B) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689633778.
Healthcare Provider's Profile
| Full Name | Mr Randy Keith White |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 47 Years |
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| Location | 2904 Arkansas Blvd, Texarkana, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Randy Keith White graduated from medical school in 1979
NPI Data:
- NPI Number: 1689633778
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 07/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749744944
- Enrollment ID: I20260709000648
Medical Identifiers
Medical identifiers for Mr Randy Keith White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689633778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | P0603014 (Arkansas) | Secondary |
| 104100000X | Social Worker | 1269-B (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southwest Arkansas Counseling And Mental Health Center, Inc | 1456339852 | 10 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Randy Keith White is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Randy Keith White, LPC
2904 Arkansas Blvd,
Texarkana, AR 71854-2536
Ph: (870) 773-4655 | Mr Randy Keith White, LPC
2904 Arkansas Blvd,
Texarkana, AR 71854-2536
Ph: (870) 773-4655 |
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