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SERENA N WHITE
NPI 1457040750
Counselor in Minneapolis, MN

Active since May 02, 2023PECOS Enrolled
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426(612) 682-4216 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Serena N White NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENA N WHITE (NPI 1457040750) is an individual counselor in Minneapolis, Minnesota and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457040750
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSERENA N WHITE
Location Address7601 WAYZATA BLVDMinneapolis, MN 55426-1623
Mailing Address3806 24th Ave SMinneapolis, MN 55406-3076 · (770) 670-9998
Phone(612) 682-4216
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 2, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1457040750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
7601 WAYZATA BLVD, Minneapolis, MN 55426
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena N White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123506938
PECOS Enrollment IDI20260203000864
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.

Medicare Billing Reassignment

Medicare enrollment records show Serena White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lyn-Lake Psychotherapy And Wellness Ltd.
4.6 mi
Clinical
621 W LAKE ST STE 350
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 152 clinicians in this Medicare group
NPI 1609355163 (612) 979-2276

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.

DR. JENNIFER GOZY PSYD, LP
Psychologist (Clinical)
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Hennepin County (612) 223-8898
GABRIELLE MARIE GEARY LPCC
Counselor (Professional)
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
HEATHER CRAIG
Counselor
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Hennepin County (612) 223-8898
BARBARAJEAN HARTOS-HORD
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
LOUISE CHARLOTTE ROLLINS
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
AMETHYST R HANDEVIDT
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (223) 612-8898
SUSAN WOLD
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
DR. CHRISTINE CLARK PSY.D., L.P.
Psychologist
7601 WAYZATA BLVD
SAINT LOUIS PARK, MN 55426
Hennepin County (612) 223-8899

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 Serena White's NPI number?

The NPI number for Serena White is 1457040750. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Serena White located?

Serena White practices at 7601 Wayzata Blvd, Minneapolis, MN 55426. The listed phone number is (612) 682-4216.

What is Serena White's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Serena White enrolled in Medicare?

Yes. Serena White is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Serena White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serena White reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, 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 Serena White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Serena White accept?

Health plans from HealthPartners list Serena 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 Serena White was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.