Individual provider Active NPI

Whitney Lick, LAMFT

  • Marriage & Family Therapist
  • Alexandria, MN
National Provider Identifier
1528702123
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4306 Issued in MN
Practice address
4133 Iowa St Ste 105
Alexandria, MN 56308-3311
Phone
(320) 762-8851
Fax
(651) 925-0057
NPI assigned
Apr 21, 2022
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 4306 MN Primary

Addresses

Primary practice location

4133 Iowa St Ste 105
Alexandria, MN 56308-3311

Mailing address

PO Box 9859
Fargo, ND 58106-9859
Phone (701) 451-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240117000514 MN Practitioner - Marriage and Family Therapist 5193177038 Reassigns benefits to 1 organization
I20260217001533 SD Practitioner - Marriage and Family Therapist 5193177038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rising Hope Counseling, LLCGroup PAC ID 3274958640, 47 clinicians

Practice addresses (Care Compare)

317 N Heritage Ave
Tea, SD 57064-2539
Phone (605) 494-1500

426 N US Hwy 281
Suite 3
Aberdeen, SD 57401-1864
Phone (605) 494-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Service Center Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Rising Hope Counseling, LLC CurrentSince Feb 1, 2026 Accepting new patients
Village Family Service Center CurrentSince Jan 1, 2024 Accepting new patients
Rising Hope Together, Inc PastSince Jan 24, 2021 Accepting new patients

Locations

4133 Iowa St
Alexandria, MN 56308
Phone (320) 762-8851

4133 Iowa St
Ste 105
Alexandria, MN 56308
Phone (320) 253-5930

2701 12th Ave S
Fargo, ND 58103
Phone (701) 451-4865

1206 S Main St
Ste 1
Aberdeen, SD 57401

317 N Heritage Ave
Tea, SD 57064

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1528702123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9859",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581069859",
            "telephone_number": "701-451-4900",
            "fax_number": "651-925-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 IOWA ST STE 105",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083311",
            "telephone_number": "320-762-8851",
            "fax_number": "651-925-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICK",
        "first_name": "WHITNEY",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.