Individual provider Active NPI

Mary Tarry White, MA,MFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1720117476
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFCC 49832 Issued in CA
Practice address
838 E 6TH St
Los Angeles, CA 90021-1028
Phone
(213) 623-8446
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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 MFCC 49832 CA Primary

Addresses

Primary practice location

838 E 6TH St
Los Angeles, CA 90021-1028

Mailing address

838 E 6TH St
Los Angeles, CA 90021-1028
Phone (213) 623-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VT2 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
I20240423003944 CA Practitioner - Marriage and Family Therapist 3072952027 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA
I20260406000020 VT Practitioner - Marriage and Family Therapist 3072952027 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

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFCC 49832CAMDMarriage & Family Therapist
49832CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince May 26, 2024 Accepting new patients
Mary Tarry White LMFT CurrentSince Jan 1, 2024 Accepting new patients
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp Past Accepting new patients

Locations

2716 S Vermont Ave
Ste 9
Los Angeles, CA 90007
Phone (323) 810-9233

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1720117476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211028",
            "telephone_number": "213-623-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211028",
            "telephone_number": "213-623-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARY",
        "middle_name": "TARRY",
        "name_prefix": "Ms.",
        "credential": "MA,MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC 49832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.