MS. MARY WHITE LMFT
NPI 1497860829
Marriage & Family Therapist in San Diego, CA

Q: What is Mary White's NPI number?

The NPI number for Mary White is 1497860829. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is Mary White's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Mary White enrolled in Medicare?

No. Mary White has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mary White was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2006Opted out of Medicare · through Oct 1, 2026

4445 EASTGATE MALL STE 200, SAN DIEGO, CA 92121(858) 254-7243 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Aug 16, 2017, Aug 11, 2017 (3 updates tracked since 2017).

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About Ms. Mary White Lmft NPPES

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

MS. MARY WHITE LMFT (NPI 1497860829) is an individual marriage & family therapist in San Diego, California, licensed in California (95171) and active in the NPI registry since August 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497860829

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. MARY WHITECredential: LMFT

Location Address4445 EASTGATE MALL STE 200San Diego, CA 92121-1979

Mailing Address4445 Eastgate Mall, Ste 200San Diego, CA 92142-0398 · (858) 254-7243

Phone(858) 254-7243

Sole ProprietorYes

Enumeration DateAugust 19, 2006

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1497860829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 95171

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedContractorTaxonomy 171W00000X

4445 EASTGATE MALL STE 200, San Diego, CA 92121

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Secondary Practice Locations 2

Location 111622 El Camino RealSan Diego, CA 92142-0398 · Phone (858) 230-1396

Location 215 Wall St # 133Foxboro, MA 02035-9998 · Phone (858) 254-7243

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ms. Mary White Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 18

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

ALANYA VAENE LEE PH.D.

Psychologist