NICOLE WHITE (MA, LPCC) – Professional Counselor, NPI 1346677937

NICOLE WHITE (MA, LPCC) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPCC. They hold a License No. CC00606 (MN). The NPI Number for NICOLE WHITE (MA, LPCC) is 1346677937

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE WHITE (MA, LPCC)
NPI
1346677937
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
27 September 2013
Last Update Date
13 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635725700
Graduation Year
2011 (15 years ago)
PAC ID
7214385962
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20240214001448
Address ID
MN554324946FR6341XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for NICOLE WHITE (MA, LPCC)

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 550 OSBORNE RD NE

    FRIDLEY, MN 554322718

    Phone: (763) 236-5950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240214001448IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Is there an official ID for NICOLE WHITE (MA, LPCC) in U.S. healthcare records?
The official identifier for NICOLE WHITE (MA, LPCC) is NPI 1346677937.
Would NICOLE WHITE (MA, LPCC) appear as active to a payer?
You can treat NICOLE WHITE (MA, LPCC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to NICOLE WHITE (MA, LPCC)?
NICOLE WHITE (MA, LPCC)'s specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE WHITE (MA, LPCC)?
Directory geography for NICOLE WHITE (MA, LPCC) centers on Minneapolis, Minnesota.
Does NICOLE WHITE (MA, LPCC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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