Individual provider Active NPI

Jenny Marie White

  • Marriage & Family Therapist
  • Monticello, MN
National Provider Identifier
1336998814
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4559 Issued in MN
Practice address
1262 Cedar St
Monticello, MN 55362-8913
Phone
(763) 732-3351
Fax
(763) 322-5026
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4559 MN Primary

Addresses

Primary practice location

1262 Cedar St
Monticello, MN 55362-8913

Mailing address

14599 83Rd St NE
Otsego, MN 55330-6613
Phone (763) 242-1438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 11, 2025 through Nov 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Branch Above Counseling LLC Marriage & Family Therapist Current Accepting new patients
Healing Moments Counseling LLC CurrentSince May 19, 2024 Accepting new patients

Locations

1262 Cedar St
Monticello, MN 55362
Phone (763) 567-3746

Organizations & group practices 2

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1336998814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14599 83RD ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306613",
            "telephone_number": "763-242-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628913",
            "telephone_number": "763-732-3351",
            "fax_number": "763-322-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

Verify at the official NPI Registry.