Penny Patricia White, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC04050 Issued in MN

Practice address

My Health
15 8TH Avenue South
Hopkins, MN 55343

Phone

(952) 474-3251

NPI assigned

Oct 16, 2023

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eden Therapy Center, LLCGroup PAC ID 7810381985, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Eden Therapy Center, LLC

  • Mental Health Counselor
  • Eden Prairie, MN
  • NPI 1275037277
  Medicare reassignment Care Compare group NPD
• Myhealth for Teens & Young Adults

  • Community Health Clinic/Center
  • Hopkins, MN
  • NPI 1386951317
  NPD (past)

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1114709102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 MISSION HILLS CIR",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553177720",
            "telephone_number": "952-250-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MY HEALTH",
            "address_2": "15 8TH AVENUE SOUTH",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "952-474-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PENNY",
        "middle_name": "PATRICIA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC04050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Margaret Weaver, RBT
• Dana Kimberly Weise-Brown, M.S.
• Wellspring Health Center PLLC
• Sophia Jo Werner
• Heather Westling
• Kenzie Susannah Sun Whiting, BASC
• Jill Marie Whitney, LPCC
• Ava Bao Wise
• Douglas Wojciechowski, PHARMD
• Valerie L Wolf, MS, ATC

• Mental Health Counselor in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.