LAURA KAY ENNIS LMFT
NPI 1679067912
Marriage & Family Therapist in Maple Grove, MN
About Laura Kay Ennis Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA KAY ENNIS LMFT (NPI 1679067912) is an individual marriage & family therapist in Maple Grove, Minnesota, licensed in Minnesota (3461) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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 Kay Ennis 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.
Medicare Billing Reassignments
2Medicare enrollment records show Laura Ennis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
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.
MAPLE GROVE, MN 55369
MAPLE GROVE, MN 55369
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 Laura Ennis's NPI number?
The NPI number for Laura Ennis is 1679067912. It was assigned to this individual provider in the NPPES registry on June 20, 2018. The provider is also known as Laura Bettelyoun Lmft.
Where is Laura Ennis located?
Laura Ennis practices at 14500 99th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 898-1000.
What is Laura Ennis's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Laura Ennis enrolled in Medicare?
Yes. Laura Ennis 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 Laura Ennis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Ennis reassigns Medicare benefits to 2 organizations: Fairview Express Care (Maple Grove, 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 Laura Ennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Laura Ennis accept?
Health plans from Sanford Health Plan list Laura Ennis 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 Laura Ennis was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Laura Kay Ennis, LMFT · NPI 1679067912
Marriage & Family Therapist provider in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since June 20, 2018.
## Identity
- **NPI:** 1679067912 (Entity type: Individual)
- **Enumerated:** June 20, 2018
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 3461 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14500 99TH AVE N, Maple Grove, MN 55369-4730
- **Phone:** (763) 898-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1255105011, Maple Grove, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679067912) · Data from the CMS NPPES public registry.