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LYN-LAKE PSYCHOTHERAPY AND WELLNESS LTD.
NPI 1609355163
Psychologist - Clinical in Minneapolis, MN

Active since August 07, 2018
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408(612) 979-2276(651) 925-0427 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2021, Aug 7, 2018 (2 updates tracked since 2018).

About Lyn-lake Psychotherapy And Wellness Ltd. NPPES

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

LYN-LAKE PSYCHOTHERAPY AND WELLNESS LTD. (NPI 1609355163) is a healthcare organization registered as a clinical in Minneapolis, Minnesota and active in the NPI registry since August 2018. The organization lists Emily Rose Van Wyk, President, as its authorized official.

NPPES Registry Identity

NPI1609355163
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLYN-LAKE PSYCHOTHERAPY AND WELLNESS LTD.
Location Address621 W LAKE ST STE 350Minneapolis, MN 55408-2952
Mailing Address621 W Lake St Ste 350Minneapolis, MN 55408-2952 · (612) 979-2276 · Fax (651) 925-0427
Phone(612) 979-2276
Fax(651) 925-0427
Organization SubpartNo
Authorized OfficialEmily Rose Van WykPresident · (651) 485-8417
Enumeration DateAugust 7, 2018
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
✔ NPI 1609355163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
621 W LAKE ST STE 350, Minneapolis, MN 55408
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyn-lake Psychotherapy And Wellness Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

151

Medicare enrollment records show 151 clinicians reassign Medicare billing to Lyn-Lake Psychotherapy And Wellness Ltd., which bills Medicare for the services they deliver. Of these, 43 practice at this address and 139 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Mental Health Counselor62
Clinical Social Worker53
Marriage and Family Therapist16
Nurse Practitioner9
Clinical Psychologist8
Certified Clinical Nurse Specialist (CNS)1
Psychologist Billing Independently1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 151
Akenzua Agbator, PMHNP-BC
Nurse Practitioner
NPI 1427891043
621 W LAKE ST
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Robert Baker, LADC, LPCC
Mental Health Counselor
NPI 1295458644
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Edward Fosco, MS
Clinical Psychologist
NPI 1205344132
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 547-9990
✔ PECOSSame address
Daniel Hoffman, LPCC
Mental Health Counselor
NPI 1922740620
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Amber Jager, LMFT
Mental Health Counselor
NPI 1841642188
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Tara Lebaron, LPCC
Mental Health Counselor
NPI 1124490453
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Heather Livingston, LICSW
Clinical Social Worker
NPI 1700461555
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Vivienne Lorijn, LICSW
Clinical Social Worker
NPI 1750958005
621 W LAKE ST STE 350
Minneapolis, MN 55408
(651) 485-8417
✔ PECOSSame address
Megan Mcgregor, LMFT
Marriage and Family Therapist
NPI 1821564725
621 W LAKE ST
Minneapolis, MN 55408
(612) 986-0893
✔ PECOSSame address
Charlotte Morgan, MSW, LICSW
Clinical Social Worker
NPI 1063999472
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Daniel Perez Amparo, LICSW
Clinical Social Worker
NPI 1770278947
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Karlie Weishoff, LICSW
Clinical Social Worker
NPI 1639953102
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Meishon Behboudi, PSYD, LP
Clinical Psychologist
NPI 1184572075
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Brenda Joseph, MA
Marriage and Family Therapist
NPI 1881614303
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Susan Haffner, APRN, CNP, PMHNP-BC
Certified Clinical Nurse Specialist (CNS)
NPI 1659961498
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Ethan Hamilton, CNP
Nurse Practitioner
NPI 1275024341
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Patricia Murray, PSY.D, L.P.
Clinical Psychologist
NPI 1275783433
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 404-2426
✔ PECOSSame address
Habib Salama, PSYD, L.P.
Clinical Psychologist
NPI 1457041386
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
June Shields, DNP, APRN, PMHNP-BC
Nurse Practitioner
NPI 1467853325
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 979-2276
✔ PECOSSame address
Nancy Soles, LMFT
Marriage and Family Therapist
NPI 1376680405
621 W LAKE ST STE 350
Minneapolis, MN 55408
(612) 251-1357
✔ PECOSSame address
See all 151 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lyn-Lake Psychotherapy And Wellness Ltd.'s NPI number?

The NPI number for Lyn-Lake Psychotherapy And Wellness Ltd. is 1609355163. It was assigned to this organization in the NPPES registry on August 7, 2018.

Where is Lyn-Lake Psychotherapy And Wellness Ltd. located?

Lyn-Lake Psychotherapy And Wellness Ltd. is located at 621 W Lake St Ste 350, Minneapolis, MN 55408. The listed phone number is (612) 979-2276.

What is Lyn-Lake Psychotherapy And Wellness Ltd.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lyn-Lake Psychotherapy And Wellness Ltd. enrolled in Medicare?

Yes. Lyn-Lake Psychotherapy And Wellness Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lyn-Lake Psychotherapy And Wellness Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 151 clinicians in 8 Medicare specialties reassign their Medicare billing to Lyn-Lake Psychotherapy And Wellness Ltd.. A 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 the clinician's services. The largest specialties are Mental Health Counselor (62), Clinical Social Worker (53) and Marriage and Family Therapist (16). Of these, 43 practice at this address and 139 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lyn-Lake Psychotherapy And Wellness Ltd. accept?

Health plans from HealthPartners list Lyn-Lake Psychotherapy And Wellness Ltd. 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 Lyn-Lake Psychotherapy And Wellness Ltd. was last updated on January 4, 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.