CARISSA JOYCE WHITE MPS, LADC, MHP
NPI 1922632363
Counselor - Addiction (Substance Use Disorder) in Mora, MN

Active since February 25, 2020PECOS Enrolled
2031 ROWLAND RD, MORA, MN 55051(320) 364-1300(651) 323-2558 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Joyce White Mps, Ladc, Mhp NPPES

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

CARISSA JOYCE WHITE MPS, LADC, MHP (NPI 1922632363) is an individual addiction (substance use disorder) provider in Mora, Minnesota, licensed in Minnesota (305579) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922632363
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCARISSA JOYCE WHITECredential: MPS, LADC, MHP
Location Address2031 ROWLAND RDMora, MN 55051-7119
Mailing Address2031 Rowland RdMora, MN 55051-7119 · (320) 364-1300 · Fax (651) 323-2558
Fax(651) 323-2558
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 25, 2020
NPI 1922632363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 305579
2031 ROWLAND RD, Mora, MN 55051

Other Names 1

Former Name (1)Carissa Joyce Jahnz

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carissa Joyce White Mps, Ladc, Mhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446603484
PECOS Enrollment IDI20240126000396
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 20

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

Counselor (Addiction (Substance Use Disorder))
2031 ROWLAND RD
MORA, MN 55051
Counselor (Mental Health)
2031 ROWLAND RD
MORA, MN 55051
Counselor (Mental Health)
2031 ROWLAND RD
MORA, MN 55051
Substance Abuse Rehabilitation Facility
2031 ROWLAND RD
MORA, MN 55051
Counselor (Addiction (Substance Use Disorder))
2031 ROWLAND RD
MORA, MN 55051
Counselor (Professional)
2031 ROWLAND RD
MORA, MN 55051
Counselor (Addiction (Substance Use Disorder))
2031 ROWLAND RD
MORA, MN 55051
Counselor (Addiction (Substance Use Disorder))
2031 ROWLAND RD
MORA, MN 55051

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 Carissa White's NPI number?

The NPI number for Carissa White is 1922632363. It was assigned to this individual provider in the NPPES registry on February 25, 2020. The provider is also known as Carissa Joyce Jahnz.

Where is Carissa White located?

Carissa White practices at 2031 Rowland Rd, Mora, MN 55051. The listed phone number is (320) 364-1300.

What is Carissa White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Carissa White enrolled in Medicare?

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

What insurance does Carissa White accept?

Health plans from HealthPartners list Carissa 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 Carissa White was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.