CORINNE G LIBBY MA, LMFT
NPI 1568778231
Marriage & Family Therapist in Andover, MN

Active since August 19, 2010PECOS EnrolledAccepts Medicare Assignment
1875 STATION PKWY NW, ANDOVER, MN 55304(763) 754-0903(612) 235-6447 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2021, Apr 25, 2018 (2 updates tracked since 2018).

About Corinne G Libby Ma, Lmft NPPES

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

CORINNE G LIBBY MA, LMFT (NPI 1568778231) is an individual marriage & family therapist in Andover, Minnesota, licensed in Minnesota (1878) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1568778231
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCORINNE G LIBBYCredential: MA, LMFT
Location Address1875 STATION PKWY NWAndover, MN 55304-3319
Mailing Address2705 Bunker Lake Blvd Nw, Suite 100Andover, MN 55304-3784 · (763) 754-0903 · Fax (612) 235-6447
Fax(612) 235-6447
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 19, 2010
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1568778231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 1878
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1875 STATION PKWY NW, Andover, MN 55304

Other Names 1

Former Name (1)Corinne G Mortensen Ma, Lmft

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

Corinne G Libby Ma, Lmft 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 ID6305345752
PECOS Enrollment IDI20250814001407
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 Reassignments

2

Medicare enrollment records show Corinne Libby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
10961 CLUB WEST PKWY STE 200
Blaine, MN 55449
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group

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.

Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304

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 Corinne Libby's NPI number?

The NPI number for Corinne Libby is 1568778231. It was assigned to this individual provider in the NPPES registry on August 19, 2010. The provider is also known as Corinne G Mortensen Ma, Lmft.

Where is Corinne Libby located?

Corinne Libby practices at 1875 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 754-0903.

What is Corinne Libby's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Corinne Libby enrolled in Medicare?

Yes. Corinne Libby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Corinne Libby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corinne Libby reassigns Medicare benefits to 2 organizations: Fairview Express Care (Blaine, MN) and Fairview Specialty Services (Minneapolis, MN). Each 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 Corinne Libby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Corinne Libby was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.