MS. JENNIFER NELL WHITE (NPI# 1679612782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679612782 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER NELL WHITE |
| Other Name | MRS. JENNIFER NELL SHRODE |
| Credential | MA LP LADC |
| Practice Address |
Five County Mental Health Center 521 Broadway Avenue North Braham MN 55006 |
| Mailing Address |
Five County Mental Health Center 521 Broadway Avenue North Po Box 287 Braham MN 55006 |
| Practice Telephone | 3203963333 |
| Practice Fax Number | 3203963363 |
| Mailing Telephone | 3203963333 |
| Mailing Fax Number | 3203963363 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP2814 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OPTUM | 16961 | 01 | |
| HEALTHPARTNERS | HP24380 | 01 | |
| BCBS | 4H134WH | 01 | |
| PREFERRED ONE | 1026277 | 01 | |
| UBH | 6212389 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427683853 | Jennifer White | Dietitian, Registered | Ronald Reagan Medical Center 757 Westwood Plaza B 147, Los Angeles, CA 90095-0001 | 2020-03-05 |
| 1366088635 | Jennifer Lynn White | Registered Nurse | 1193 S 16th Pl, Cottonwood, AZ 86326-6939 | 2019-11-21 |
| 1164077764 | Jennifer J White | Physical Therapy Assistant | 4501 Jackson St Ste B, Alexandria, LA 71303-2555 | 2019-08-09 |
| 1023679032 | Jennifer White | Behavioral Analyst | 3526 Industrial Ave, Fairbanks, AK 99701-7376 | 2019-06-21 |
| 1306320635 | Jennifer E White | Counselor | 65284 Al Highway 77, Talladega, AL 35160-3554 | 2018-09-22 |
| 1457837601 | Jennifer S White | Registered Nurse | 1906 E Tyler Ave Ste G, Harlingen, TX 78550-7109 | 2018-07-11 |
| 1780180109 | Jennifer Lee White | Driver | 304 Burnetts Way, Suffolk, VA 23434-8048 | 2018-04-04 |
| 1730680729 | Jennifer Leigh White | Nurse Practitioner | 5505 Harrison Ave, Cincinnati, OH 45248-2311 | 2018-02-24 |
| 1114425303 | Jennifer Mary White | Social Worker | 345 W Washington Ave Ste 501, Madison, WI 53703-3007 | 2018-01-23 |
| 1902322282 | Jennifer F White | Counselor | 764 Colonel Ledyard Hwy Unit 204, Ledyard, CT 06339-7012 | 2017-08-17 |
| Street Address |
FIVE COUNTY MENTAL HEALTH CENTER 521 BROADWAY AVENUE NORTH |
| City | BRAHAM |
| State | MN |
| Zip Code | 55006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518192756 | David Michael Noren | Rehabilitation Practitioner | 521 Broadway Ave N, Braham, MN 55006 | 2009-05-18 |
| 1851513477 | James Allen Radziun | Dentist | 110 5th Street Nw, Braham, MN 55006 | 2007-05-03 |
| 1033259411 | Christine Tande Johnson | Psychologist | 521 Broadway Ave North, Five County Mental Health Center, Braham, MN 55006 | 2007-02-07 |
| 1235279621 | John Theophile Lindquist | Psychologist | 521 Broadway Avenue North, Five County Mental Health Center, Braham, MN 55006 | 2007-02-07 |
| 1124519400 | Braham Family Dental | Clinic/Center | 110 5th St Nw, Braham, MN 55006 | 2018-05-23 |
| 1174777981 | Kimberly Jane Yzermans Nelson | Case Manager/Care Coordinator | 521 Broadway Avenue North, Firve County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-11-06 |
| 1184877599 | Derek Thomas Magaard | Rehabilitation Practitioner | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-29 |
| 1366694473 | Jody Lyn Dixon | Case Manager/Care Coordinator | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-21 |
| 1629220736 | Roxanne Lynn Anderson | Case Manager/Care Coordinator | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-21 |
| 1447402557 | Kimberly Marie Norberg | Case Manager/Care Coordinator | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-21 |
| Find all providers in zip 55006 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033259411 | Christine Tande Johnson | Psychologist | 521 Broadway Ave North, Five County Mental Health Center, Braham, MN 55006 | 2007-02-07 |
| 1235279621 | John Theophile Lindquist | Psychologist | 521 Broadway Avenue North, Five County Mental Health Center, Braham, MN 55006 | 2007-02-07 |
| 1699906412 | Scott A Tennapel | Psychologist | 521 Broadway Ave N, Braham, MN 55006-4711 | 2009-07-28 |
| 1144363409 | Marlin Oscar Trulsen | Psychologist | 521 Broadway Avenue North, Five County Mental Health Center Braham, Braham, MN 55006 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
| 1730716994 | Tamolyn Patterson Benke | Psychologist | 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 | 2020-03-26 |
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.