Nicole White, MA, LPCC in Fridley, MN - Medicare Counselor Provider

Nicole White, MA, LPCC is a medicare enrolled "Counselor - Professional" provider in Fridley, Minnesota. Her current practice location is 550 Osborne Rd Ne, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-5950.

Nicole White is licensed to practice in Minnesota (license number CC00606) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346677937.

Contact Information

	Nicole White, MA, LPCC
	550 Osborne Rd Ne, Fridley, MN 55432-2718
	(763) 236-5950
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole White
Gender	Female
Speciality	Counselor - Professional
Location	550 Osborne Rd Ne, Fridley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346677937
Provider Enumeration Date: 09/27/2013
Last Update Date: 03/13/2017

Medicare PECOS Information:

PECOS PAC ID: 7214385962
Enrollment ID: I20240214001448

Medical Identifiers

Medical identifiers for Nicole White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346677937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC00606 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole White allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole White is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole White, MA, LPCC 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Nicole White, MA, LPCC 550 Osborne Rd Ne, Fridley, MN 55432-2718 Ph: (763) 236-5950

Reviews and Comments

Counselor in Fridley, MN

Mohamed Hassan Ahmed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6599 Channel Rd Ne, Fridley, MN 55432 Phone: 763-318-4122
Marcie L Stresemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
Kylie Renee Anne Mathieu, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-4105
Matthew John Fritscher, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
David Alan Wood, MA LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7260 University Ave Ne Ste 235, Fridley, MN 55432 Phone: 763-572-2612
Mr. Anthony Warren Hunniutt, LSW LAOC LICENSED SO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7590 Lyric Lane Ne, Fridley, MN 55432 Phone: 763-236-4509 Fax: 763-236-4370
Suzanne L Sater, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6341 Monroe St Ne, Fridley, MN 55432 Phone: 763-226-1288

Nicole White, MA, LPCC - Medicare Counselor in Fridley, MN