IndividualActive
Ivan White
NPI 1730614033 · Addiction (Substance Use Disorder) Counselor · Citra, FL
Provider details
- NPI number
- 1730614033
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- ADC-006927-2015 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
15681 N US Highway 301
Citra, FL 32113-3154
Phone: (352) 595-5000
Fax: (352) 595-8431
Street-level locationGet directions
Mailing address
6025 Se 46th Avenue Rd
Ocala, FL 34480-7765
Registry dates
- Enumerated
- 2017-04-24
- Last updated
- 2017-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.