1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Marriage Family Therapist
  6. NPI Profile

LYNANNE EVENSON LMFT, LADC
NPI 1639645898
Marriage & Family Therapist in Minneapolis, MN

Active since October 15, 2018PECOS Enrolled
1300 S 2ND ST STE 180, MINNEAPOLIS, MN 55454(612) 625-1500 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2021, Oct 15, 2018 (2 updates tracked since 2018).

About Lynanne Evenson Lmft, Ladc NPPES

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

LYNANNE EVENSON LMFT, LADC (NPI 1639645898) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (3741) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639645898
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLYNANNE EVENSONCredential: LMFT, LADC
Location Address1300 S 2ND ST STE 180Minneapolis, MN 55454-5000
Mailing Address1300 S 2nd St Ste 180Minneapolis, MN 55454-5000 · (612) 625-1500
Phone(612) 625-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 15, 2018
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1639645898 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 · 3741
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.
1300 S 2ND ST STE 180, Minneapolis, MN 55454
Open in Google Maps ↗

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)

Lynanne Evenson Lmft, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466895511
PECOS Enrollment IDI20240206003223
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

3

Medicare enrollment records show Lynanne Evenson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
0.7 mi
Multi-Specialty
2312 S 6TH ST STE F105
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1053952606 (612) 273-3565
Fairview Specialty Services
0.9 mi
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843
Lyn-Lake Psychotherapy And Wellness Ltd.
2.7 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 12

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

ITOR FINOTELLI JUNIOR PHD
Student in an Organized Health Care Education/Training Program
1300 S 2ND ST STE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 704-5925
DR. KRISTEN MARK PHD, MPH
Marriage & Family Therapist
1300 S 2ND ST STE 180
MINNEAPOLIS, MN 55454
Hennepin County (812) 345-2201
JANNA ALENE DICKENSON PHD
Student in an Organized Health Care Education/Training Program
1300 S 2ND ST STE 180
MINNEAPOLIS, MN 55454
Hennepin County (858) 776-3503
TODD G LEECH PA-C
Physician Assistant
1300 S 2ND ST STE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1562
DR. JONATHAN LEE POQUIZ PHD
Psychologist
1300 S 2ND ST STE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1500
JENNIFER CONNOR PHD LMFT
Marriage & Family Therapist
1300 S 2ND ST STE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1500
GLORIA NICOLE RIDER
Psychologist (Clinical)
1300 S 2ND ST STE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1562
RYAN RAHM-KNIGGE PHD LP
Psychologist
1300 S 2ND ST STE 180
MINNEAPOLIS, MN 55454
Hennepin County (605) 360-8925

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 Lynanne Evenson's NPI number?

The NPI number for Lynanne Evenson is 1639645898. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Lynanne Evenson located?

Lynanne Evenson practices at 1300 S 2nd St Ste 180, Minneapolis, MN 55454. The listed phone number is (612) 625-1500.

What is Lynanne Evenson's specialty?

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

Is Lynanne Evenson enrolled in Medicare?

Yes. Lynanne Evenson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lynanne Evenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynanne Evenson reassigns Medicare benefits to 3 organizations: Fairview Express Care (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and Lyn-Lake Psychotherapy And Wellness Ltd. (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 Lynanne Evenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynanne Evenson accept?

Health plans from HealthPartners list Lynanne Evenson 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 Lynanne Evenson was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.