Organization Active NPI

White Oak Psychotherapy, LTD

  • Adult Mental Health Clinic/Center
  • Woodbury, MN
National Provider Identifier
1669299426
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Bethany Lanis Zelada, MA, LADC, LPCCNPI 1780320804
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.