Individual provider Active NPI

Mindy A White, MS

  • Professional Counselor
  • Scranton, PA
National Provider Identifier
1013560374
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014450 Issued in PA
Practice address
300 Mulberry St Ste 201
Scranton, PA 18503-1233
Phone
(570) 955-6479
Fax
(570) 955-5528
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC014450 PA Primary

Addresses

Primary practice location

300 Mulberry St Ste 201
Scranton, PA 18503-1233

Mailing address

300 Mulberry St Ste 201
Scranton, PA 18503-1233
Phone (570) 955-6479

Other practice location 1

851 Commerce Blvd
Scranton, PA 18519-1759
Phone (570) 489-5561

Other practice location 2

851 Commerce Blvd
Scranton, PA 18519-1759
Phone (570) 489-5561

Other practice location 3

851 Commerce Blvd
Scranton, PA 18519-1759
Phone (570) 489-5561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215000272 PA Practitioner - Mental Health Counselor 4082058334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Counseling Services, PCGroup PAC ID 5698046357, 25 clinicians

Practice addresses (Care Compare)

300 Mulberry St
Suite 201
Scranton, PA 18503-1233
Phone (570) 955-5479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC014450PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services, PC Professional CurrentSince Jan 7, 2024 Accepting new patients
Aaron Center, Inc. PastSince Sep 1, 2019 Accepting new patients
Empowered Resilience Mental Health PastSince Jan 7, 2024 Accepting new patients

Locations

52 Summit St
New Milford, PA 18834
Phone (570) 465-2080

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1013560374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST STE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031233",
            "telephone_number": "570-955-6479",
            "fax_number": "570-955-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST STE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031233",
            "telephone_number": "570-955-6479",
            "fax_number": "570-955-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185191759",
            "country_code": "US",
            "telephone_number": "570-489-5561",
            "fax_number": "570-489-5563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185191759",
            "country_code": "US",
            "telephone_number": "570-489-5561",
            "fax_number": "570-489-5563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185191759",
            "country_code": "US",
            "telephone_number": "570-489-5561",
            "fax_number": "570-489-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MINDY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.