MACKENZIE JEWELL WHITE
NPI 1154902211
Counselor - Mental Health in San Diego, CA
About Mackenzie Jewell White NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE JEWELL WHITE (NPI 1154902211) is an individual mental health provider in San Diego, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mackenzie Jewell White is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mackenzie White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chaska, MN 55318
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92101
SAN DIEGO, CA 92101
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 Mackenzie White's NPI number?
The NPI number for Mackenzie White is 1154902211. It was assigned to this individual provider in the NPPES registry on April 19, 2021.
Where is Mackenzie White located?
Mackenzie White practices at 545 Laurel St, San Diego, CA 92101. The listed phone number is (619) 233-4399.
What is Mackenzie White's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mackenzie White enrolled in Medicare?
Yes. Mackenzie White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mackenzie White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie White reassigns Medicare benefits to 2 organizations: Fairview Express Care (Chaska, MN) and Fairview Specialty Services (Minneapolis, MN). Each 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 Mackenzie White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie White accept?
Health plans from Sanford Health Plan list Mackenzie White 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 Mackenzie White was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mackenzie Jewell White · NPI 1154902211
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since April 19, 2021.
## Identity
- **NPI:** 1154902211 (Entity type: Individual)
- **Enumerated:** April 19, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 545 LAUREL ST, San Diego, CA 92101-1634
- **Phone:** (619) 233-4399
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1043991904, Chaska, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154902211) · Data from the CMS NPPES public registry.