Individual provider Active NPI

Alison Whiteaker, LMFT

  • Marriage & Family Therapist
  • Burnsville, MN
National Provider Identifier
1700405198
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3272 Issued in MN
Practice address
14300 Nicollet CT Ste 130
Burnsville, MN 55306-3422
Phone
(952) 435-8814
Fax
(952) 435-7705
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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 3272 MN Primary

Addresses

Primary practice location

14300 Nicollet CT Ste 130
Burnsville, MN 55306-3422

Mailing address

14300 Nicollet CT Ste 130
Burnsville, MN 55306-3422
Phone (952) 435-8814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240110001340 MN Practitioner - Marriage and Family Therapist 5991156358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wild Tree Psychotherapy LLCGroup PAC ID 8426408881, 9 clinicians

Practice addresses (Care Compare)

906 Vermillion St
Hastings, MN 55033-2135
Phone (651) 212-4920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Tree Psychotherapy, LLC CurrentSince Oct 24, 2025 Accepting new patients
Pathway Virtu-Health Past Accepting new patients
Sarah C. Chambers, P.a. Past Accepting new patients

Locations

906 Vermillion St
Hastings, MN 55033
Phone (651) 212-4920

653 Grand Ave
Saint Paul, MN 55105
Phone (651) 212-4920

Organizations & group practices 3

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1700405198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT STE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553063422",
            "telephone_number": "952-435-8814",
            "fax_number": "952-435-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT STE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553063422",
            "telephone_number": "952-435-8814",
            "fax_number": "952-435-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEAKER",
        "first_name": "ALISON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.