MS. MARY TARRY WHITE MA,MFT
NPI 1720117476
Marriage & Family Therapist in Los Angeles, CA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
838 E 6TH ST, LOS ANGELES, CA 90021(213) 623-8446 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Mary Tarry White Ma,mft NPPES

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

MS. MARY TARRY WHITE MA,MFT (NPI 1720117476) is an individual marriage & family therapist in Los Angeles, California, licensed in California (MFCC 49832) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720117476
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. MARY TARRY WHITECredential: MA,MFT
Location Address838 E 6TH STLos Angeles, CA 90021-1028
Mailing Address838 E 6th StLos Angeles, CA 90021-1028 · (213) 623-8446
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 12, 2012
✔ NPI 1720117476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFCC 49832
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.
838 E 6TH ST, Los Angeles, CA 90021

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

Ms. Mary Tarry White Ma,mft 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.

PECOS PAC ID3072952027
PECOS Enrollment IDI20260406000020
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 Reassignments

2

Medicare enrollment records show Mary White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Vermont enrollment
  • 123 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 10

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

Social Worker (Clinical)
838 E 6TH ST
LOS ANGELES, CA 90021
Counselor (Mental Health)
838 E 6TH ST
LOS ANGELES, CA 90021
Marriage & Family Therapist
838 E 6TH ST
LOS ANGELES, CA 90021
Counselor (Mental Health)
838 E 6TH ST
LOS ANGELES, CA 90021
Marriage & Family Therapist
838 E 6TH ST
LOS ANGELES, CA 90021
Counselor (Mental Health)
838 E 6TH ST
LOS ANGELES, CA 90021
Marriage & Family Therapist
838 E 6TH ST
LOS ANGELES, CA 90021
Marriage & Family Therapist
838 E 6TH ST
LOS ANGELES, CA 90021

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 Mary White's NPI number?

The NPI number for Mary White is 1720117476. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Mary White located?

Mary White practices at 838 E 6th St, Los Angeles, CA 90021. The listed phone number is (213) 623-8446.

What is Mary White's specialty?

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

Is Mary White enrolled in Medicare?

Yes. Mary 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 Mary White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary White reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). 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 Mary White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary White was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.