Active NPI
White Oak Psychotherapy, LTD
- Adult Mental Health Clinic/Center
- Woodbury, MN
National Provider Identifier
1669299426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- WHITE OAK PSYCHOTHERAPY, LTD
- Practice address
- 611 Bielenberg Dr Ste 109
Woodbury, MN 55125-1431 - Phone
- (651) 764-7023
- Fax
- (612) 666-1612
- NPI assigned
- Sep 23, 2024
- Last updated
- Jul 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bethany Lanis Zelada, MA, LADC, LPCC
- Title
- President
- Phone
- (651) 764-7023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
611 Bielenberg Dr Ste 109
Woodbury, MN 55125-1431
Mailing address
611 Bielenberg Dr Ste 109
Woodbury, MN 55125-1431
Phone (651) 764-7023
National Provider Directory
National Provider DirectoryLocations
611 Bielenberg Dr
Ste 109
Woodbury, MN 55125
Phone (651) 764-7023
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Woodbury, MN
- NPI 1780320804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1669299426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 BIELENBERG DR STE 109",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251431",
"telephone_number": "651-764-7023",
"fax_number": "612-666-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 BIELENBERG DR STE 109",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251431",
"telephone_number": "651-764-7023",
"fax_number": "612-666-1612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE OAK PSYCHOTHERAPY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-23",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "LANIS ZELADA",
"authorized_official_first_name": "BETHANY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-764-7023",
"authorized_official_credential": "MA, LADC, LPCC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.