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ENLIGHTENMENT PSYCHIATRY LLC
NPI 1629737473
Clinic/Center in Park Rapids, MN

Active since December 09, 2021
1011 1ST ST E STE 5, PARK RAPIDS, MN 56470(320) 321-9599(877) 962-3624 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2026, Oct 9, 2024, Dec 9, 2021 (3 updates tracked since 2021).

About Enlightenment Psychiatry Llc NPPES

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

ENLIGHTENMENT PSYCHIATRY LLC (NPI 1629737473) is a healthcare organization registered as a clinic/center in Park Rapids, Minnesota and active in the NPI registry since December 2021. The organization maintains 12 additional practice locations and lists Mackenzie Snortum, Owner, as its authorized official.

NPPES Registry Identity

NPI1629737473
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameENLIGHTENMENT PSYCHIATRY LLC
Location Address1011 1ST ST E STE 5Park Rapids, MN 56470-1764
Mailing Address1011 1st St E Ste 5Park Rapids, MN 56470-1764 · (320) 321-9599 · Fax (877) 962-3624
Phone(320) 321-9599
Fax(877) 962-3624
Organization SubpartNo
Authorized OfficialMackenzie SnortumOwner · (320) 321-9599
Enumeration DateDecember 9, 2021
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1629737473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1011 1ST ST E STE 5, Park Rapids, MN 56470
Open in Google Maps ↗

Secondary Practice Locations 12

Location 11104 4th Ave NELong Prairie, MN 56347-0008 · Phone (320) 732-2175
Location 2850 2nd St NWAitkin, MN 56431-1140 · Phone (218) 927-2164
Location 318846 Eagle Bend RdPark Rapids, MN 56470-2073 · Phone (218) 732-3721
Location 4260 Magnus Johnson St NKimball, MN 55353-2794 · Phone (320) 398-8646
Location 5105 Spruce St NWRemer, MN 56672-4301 · Phone (218) 670-2310
Location 6200 W Walnut AveUpsala, MN 56384-2305 · Phone (320) 783-4600
Location 7840 2nd St NWAitkin, MN 56431-1158 · Phone (218) 927-2164
Location 8808 Washington Ave Ste 15ADetroit Lakes, MN 56501-3039 · Phone (320) 321-9599 · Fax (877) 962-3624
Location 920122 239th AveNevis, MN 56467-4209 · Phone (320) 321-9599 · Fax (877) 962-3624
Location 10215 Tousley Ave SNew York Mills, MN 56567-4400 · Phone (218) 385-4700
Location 111005 Wells Ave WSebeka, MN 56477-2692 · Phone (218) 837-6406
Location 12403 Main Ave S Ste 1Park Rapids, MN 56470-1555 · Phone (320) 321-9599 · Fax (877) 962-3624

Other Identifiers 1

Other1013555887MN · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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)

Enlightenment Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Enlightenment Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Annette Pratt, APRN
Nurse Practitioner
NPI 1760209084
1011 1ST ST E STE 5
Park Rapids, MN 56470
(320) 321-9599
✔ PECOS✔ Accepts MedicareSame address
Mackenzie Snortum, PMHNP
Nurse Practitioner
NPI 1013555887
1011 1ST ST E STE 5
Park Rapids, MN 56470
(320) 321-9599
✔ PECOS✔ Accepts MedicareSame address
Delores Alleckson, NP
Nurse Practitioner
NPI 1184857021
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare1.1 mi
Cristin Trejos, LICSW, LADC
Clinical Social Worker
NPI 1225420615
4621 STATE 200 NW
Walker, MN 56484
(218) 252-4753
✔ PECOS26 mi
Jessica Hinkley, FNP
Nurse Practitioner
NPI 1326230210
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7101
✔ PECOS✔ Accepts Medicare57 mi

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 Enlightenment Psychiatry LLC's NPI number?

The NPI number for Enlightenment Psychiatry LLC is 1629737473. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is Enlightenment Psychiatry LLC located?

Enlightenment Psychiatry LLC is located at 1011 1st St E Ste 5, Park Rapids, MN 56470. The listed phone number is (320) 321-9599.

What is Enlightenment Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Enlightenment Psychiatry LLC enrolled in Medicare?

Yes. Enlightenment Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Enlightenment Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Enlightenment Psychiatry LLC. 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 Nurse Practitioner (4) and Clinical Social Worker (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Enlightenment Psychiatry LLC accept?

Health plans from HealthPartners and Sanford Health Plan list Enlightenment Psychiatry LLC 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 Enlightenment Psychiatry LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.