CARISSA JOYCE WHITE (NPI# 1922632363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922632363 |
| Entity Type | Individual |
| Full Name | CARISSA JOYCE WHITE |
| Other Name | CARISSA JOYCE JAHNZ |
| Credential | MPS, LADC, MHP |
| Practice Address |
2031 Rowland Rd Mora MN 55051-7119 |
| Practice Telephone | 3203641300 |
| Practice Fax Number | 6513232558 |
| Mailing Telephone | 3203641300 |
| Mailing Fax Number | 6513232558 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
305579 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982959342 | Carissa Michelle White | Radiology | 500 University Dr, Hershey, PA 17033-2360 | 2012-07-20 |
| Street Address |
2031 ROWLAND RD |
| City | MORA |
| State | MN |
| Zip Code | 55051-7119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104283779 | Sadie Briana Broekemeier | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2016-01-27 |
| 1699382077 | Becky Lynn Sauter | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2020-09-29 |
| 1679113823 | Susan R Peterson | Social Worker | 2031 Rowland Rd, Mora, MN 55051-7119 | 2020-01-15 |
| 1992263784 | Jamie Rose Bankers | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-03-11 |
| 1043778848 | Lisa L Schultz | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-03-11 |
| 1649738246 | Kimberly Ann Apel | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-03-04 |
| 1528526134 | Tasha Eggert | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-03-04 |
| 1699231589 | Marie E Bergloff | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-02-15 |
| 1831664275 | Natalie Ann Radich | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2018-10-12 |
| 1942780960 | Recovering Hope Treatment Center, Inc. | Clinic/Center | 2031 Rowland Rd, Mora, MN 55051-7119 | 2018-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407085 | Anna Insley | Pharmacist | 301 Mn-65, Inpatient Pharmacy, Mora, MN 55051 | 2020-08-12 |
| 1609286368 | Love The Journey Inc | Clinic/Center | 23 Pine St N, Mora, MN 55051 | 2014-05-04 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1710236138 | Rebecca Suzanne Autio | Nurse Practitioner | 301 Highway 65 South, Mora, MN 55051 | 2012-08-30 |
| 1154639128 | Augustana Senior Development II | Assisted Living Facility | 170 Valhalla Circle, Mora, MN 55051 | 2010-09-23 |
| 1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
| 1942359278 | Ralph Dale Swenson | Dentist | 620 S Union, Mora, MN 55051 | 2007-01-09 |
| 1376620013 | Mora Chiropractic Clinic P.C. | Chiropractor | 114 W Maple Ave, Mora, MN 55051 | 2006-11-01 |
| 1629181094 | Janice Lea Fleming | Internal Medicine | 301 S Hwy 65, Kanabee Hospital, Mora, MN 55051 | 2006-08-17 |
| 1467407502 | James Matthew Williams | Dentist | 620 S Union St, Mora, MN 55051 | 2006-05-24 |
| Find all providers in zip 55051 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366970352 | Darci Jean Wikelius | Counselor | 2886 W River Rd, Mora, MN 55051-6211 | 2017-06-02 |
| 1104283779 | Sadie Briana Broekemeier | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2016-01-27 |
| 1699382077 | Becky Lynn Sauter | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2020-09-29 |
| 1992263784 | Jamie Rose Bankers | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-03-11 |
| 1043778848 | Lisa L Schultz | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-03-11 |
| 1649738246 | Kimberly Ann Apel | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-03-04 |
| 1528526134 | Tasha Eggert | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-03-04 |
| 1699231589 | Marie E Bergloff | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2019-02-15 |
| 1922516533 | Barbara Joanne Greenwood | Counselor | 206 Maple Ave E, Mora, MN 55051-1311 | 2018-01-17 |
| 1487100665 | Michelle Paige | Counselor | 2031 Rowland Rd, Mora, MN 55051-7119 | 2016-08-29 |
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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.