Ryann Elizabeth Whitely, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC05408 Issued in MN

Practice address

3033 Campus Dr Ste E180
Plymouth, MN 55441-2743

Phone

(952) 460-9038

Fax

(651) 383-4935

NPI assigned

Jan 20, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Mental Health Systems PC

  • Psychologist
  • Edina, MN
  • NPI 1497835656
  Medicare reassignment NPD

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1104785641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 CAMPUS DR STE E180",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412743",
            "telephone_number": "952-460-9038",
            "fax_number": "651-383-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 CAMPUS DR STE E180",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412743",
            "telephone_number": "952-460-9038",
            "fax_number": "651-383-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELY",
        "first_name": "RYANN",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC05408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doug White, RPH
• Eboni White
• Emily S White
• Pearl Mae White
• Samantha White
• Cassandra Whiteside, OTR/L
• Catherine Whiting, M.D.
• Whitney Sleep Associates
• Whitney Sleep Associates LLC
• Courtney Wade Whitney, D.O.

• Professional Counselor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.