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RYANN ELIZABETH WHITELY MA, LPCC
NPI 1104785641
Counselor - Professional in Plymouth, MN

Active since January 20, 2026PECOS Enrolled
3033 CAMPUS DR STE E180, PLYMOUTH, MN 55441(952) 460-9038(651) 383-4935 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1104785641
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRYANN ELIZABETH WHITELYCredential: MA, LPCC
Location Address3033 CAMPUS DR STE E180Plymouth, MN 55441-2743
Mailing Address3033 Campus Dr Ste E180Plymouth, MN 55441-2743 · (952) 460-9038 · Fax (651) 383-4935
Phone(952) 460-9038
Fax(651) 383-4935
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
✔ NPI 1104785641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC05408
3033 CAMPUS DR STE E180, Plymouth, MN 55441
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryann Elizabeth Whitely Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890276596
PECOS Enrollment IDI20260220001574
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAILEY DAHL MA, LPCC
Counselor (Professional)
3033 CAMPUS DR STE E180
PLYMOUTH, MN 55441
Hennepin County (952) 835-2002
LAURA MICHELLE GROENEWEG MSW, LICSW
Social Worker (Clinical)
3033 CAMPUS DR STE E180
PLYMOUTH, MN 55441
Hennepin County (524) 609-0869
JULIE MORIN LPCC
Counselor (Mental Health)
3033 CAMPUS DR STE E180
PLYMOUTH, MN 55441
Hennepin County (952) 460-9031
ALEXIS TRIPLETT MA, LPCC
Counselor (Professional)
3033 CAMPUS DR STE E180
PLYMOUTH, MN 55441
Hennepin County (952) 460-9091

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.

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 6 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.