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ELENA SHAFFER MA, LPCC
NPI 1376226068
Counselor - Mental Health in Minneapolis, MN

Active since August 09, 2023PECOS Enrolled
111 3RD AVE S STE 100, MINNEAPOLIS, MN 55401(952) 883-3100 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2025, Aug 9, 2023 (2 updates tracked since 2023).

About Elena Shaffer Ma, Lpcc NPPES

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

ELENA SHAFFER MA, LPCC (NPI 1376226068) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (3981) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376226068
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELENA SHAFFERCredential: MA, LPCC
Location Address111 3RD AVE S STE 100Minneapolis, MN 55401-2551
Mailing Address4012 Colfax Ave SMinneapolis, MN 55409-1426 · (612) 207-5257
Phone(952) 883-3100
Sole ProprietorYes
Enumeration DateAugust 9, 2023
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1376226068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 3981
111 3RD AVE S STE 100, Minneapolis, MN 55401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elena Shaffer Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Elena Shaffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lyn-Lake Psychotherapy And Wellness Ltd.
2.6 mi
Clinical
621 W LAKE ST STE 350
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 152 clinicians in this Medicare group
NPI 1609355163 (612) 979-2276

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 7

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

JENNIFER MARIE RYNES LPCC
Counselor (Mental Health)
111 3RD AVE S STE 100
MINNEAPOLIS, MN 55401
Hennepin County (612) 405-3712
MAYA FARR-ATKINS LGSW
Social Worker
111 3RD AVE S STE 100
MINNEAPOLIS, MN 55401
Hennepin County (612) 293-9418
COURTNEY JEAN KUTZLER
Social Worker (Clinical)
111 3RD AVE S STE 100
MINNEAPOLIS, MN 55401
Hennepin County (507) 782-1327
ALEXANDRA HOLT LPCC
Counselor (Mental Health)
111 3RD AVE S STE 100
MINNEAPOLIS, MN 55401
Hennepin County (612) 470-7569
JENNIFER ANDERSON LICSW
Social Worker (Clinical)
111 3RD AVE S STE 100
MINNEAPOLIS, MN 55401
Hennepin County (612) 314-6704
JOSELYN JOHNSTONE LPCC, LADC
Counselor (Professional)
111 3RD AVE S STE 100
MINNEAPOLIS, MN 55401
Hennepin County (612) 314-6704
JIMMY QUACH
Counselor (Mental Health)
111 3RD AVE S STE 100
MINNEAPOLIS, MN 55401
Hennepin County (651) 313-8080

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 Elena Shaffer's NPI number?

The NPI number for Elena Shaffer is 1376226068. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Elena Shaffer located?

Elena Shaffer practices at 111 3rd Ave S Ste 100, Minneapolis, MN 55401. The listed phone number is (952) 883-3100.

What is Elena Shaffer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Elena Shaffer enrolled in Medicare?

Yes. Elena Shaffer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elena Shaffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elena Shaffer reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN). The 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 Elena Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elena Shaffer accept?

Health plans from HealthPartners list Elena Shaffer 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 Elena Shaffer was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.