IndividualActive
Greg Tillman-White, LPC
NPI 1205155645 · Professional Counselor · Roseburg, OR
Provider details
- NPI number
- 1205155645
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- C1764 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1376 Ne Walnut St
Roseburg, OR 97470-2242
Phone: (541) 784-8224
Street-level locationGet directions
Mailing address
2630 Austin Rd
Roseburg, OR 97471-4512
Registry dates
- Enumerated
- 2010-05-25
- Last updated
- 2010-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.