LAURA RUSSELL-REYNA
NPI 1487236048
Counselor - Mental Health in Coon Rapids, MN

Q: What is Laura Russell-reyna's NPI number?

The NPI number for Laura Russell-reyna is 1487236048. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Q: What is Laura Russell-reyna's specialty?

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

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment

9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 233-7266(612) 728-5301 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2022, Apr 23, 2021 (2 updates tracked since 2021).

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About Laura Russell-reyna NPPES

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

LAURA RUSSELL-REYNA (NPI 1487236048) is an individual mental health provider in Coon Rapids, Minnesota and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1487236048

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLAURA RUSSELL-REYNA

Location Address9120 SPRINGBROOK DR NWCoon Rapids, MN 55433-5845

Mailing Address11607 88th Ave NMaple Grove, MN 55369-4577

Phone(763) 233-7266

Fax(612) 728-5301

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 23, 2021

Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration

NPPES CertifiedAugust 8, 2022

✔ NPI 1487236048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

9120 SPRINGBROOK DR NW, Coon Rapids, MN 55433

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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 and accepts Medicare assignment

Laura Russell-reyna 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 ID2961847033

PECOS Enrollment IDI20240228002367

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 Laura Russell-reyna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fraser Child And Family Center

12 mi

Adolescent and Children Mental Health

3333 UNIVERSITY AVE SE
Minneapolis, MN 55414

Reassigned Medicare billing, Minnesota enrollment
228 clinicians in this Medicare group

NPI 1609922194 (612) 331-9413

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 20

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

DESIREE BEASLEY

Behavior Technician