RYANN ELIZABETH WHITELY MA, LPCC
NPI 1104785641
Counselor - Professional in Plymouth, MN
About Ryann Elizabeth Whitely Ma, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYANN ELIZABETH WHITELY MA, LPCC (NPI 1104785641) is an individual professional provider in Plymouth, Minnesota, licensed in Minnesota (CC05408) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ryann Elizabeth Whitely Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ryann Whitely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLYMOUTH, MN 55441
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ryann Whitely's NPI number?
The NPI number for Ryann Whitely is 1104785641. It was assigned to this individual provider in the NPPES registry on January 20, 2026.
Where is Ryann Whitely located?
Ryann Whitely practices at 3033 Campus Dr Ste E180, Plymouth, MN 55441. The listed phone number is (952) 460-9038.
What is Ryann Whitely's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ryann Whitely enrolled in Medicare?
Yes. Ryann Whitely is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ryann Whitely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryann Whitely reassigns Medicare benefits to Mental Health Systems PC (Edina, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryann Whitely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryann Whitely accept?
Health plans from HealthPartners list Ryann Whitely as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ryann Whitely was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ryann Elizabeth Whitely, MA, LPCC · NPI 1104785641
Professional provider in Plymouth, Minnesota. Individual provider, active in the CMS NPPES registry since January 20, 2026.
## Identity
- **NPI:** 1104785641 (Entity type: Individual)
- **Enumerated:** January 20, 2026
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC05408 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3033 CAMPUS DR STE E180, Plymouth, MN 55441-2743
- **Phone:** (952) 460-9038 · **Fax:** (651) 383-4935
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Systems PC (NPI 1497835656, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104785641) · Data from the CMS NPPES public registry.