Active NPI
Monica Anne White, PHD, LMFT
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1609366327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3600
- Practice address
- 15 Groveland Ter Ste 203
Minneapolis, MN 55403-1154 - Phone
- (612) 860-6571
- NPI assigned
- May 17, 2018
- Last updated
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3600 | MN | Primary |
Addresses
Primary practice location
15 Groveland Ter Ste 203
Minneapolis, MN 55403-1154
Mailing address
15 Groveland Ter Ste 203
Minneapolis, MN 55403-1154
Phone (612) 860-6571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3600 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1609366327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GROVELAND TER STE 203",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554031154",
"telephone_number": "612-860-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 GROVELAND TER STE 203",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554031154",
"telephone_number": "612-860-6571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MONICA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHD, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.