LAURA KAY ENNIS LMFT
NPI 1679067912
Marriage & Family Therapist in Maple Grove, MN

Q: 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.

Q: What is Laura Ennis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laura Ennis was last updated on November 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment

14500 99TH AVE N, MAPLE GROVE, MN 55369(763) 898-1000 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2025, Jun 20, 2018 (2 updates tracked since 2018).

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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

NPI1679067912

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLAURA KAY ENNISCredential: LMFT

Location Address14500 99TH AVE NMaple Grove, MN 55369-4730

Mailing Address14500 99th Ave NMaple Grove, MN 55369-4730 · (763) 898-1000

Phone(763) 898-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 20, 2018

Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1679067912 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 · 3461

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.

14500 99TH AVE N, Maple Grove, MN 55369

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Other Names 1

Former Name (1)Laura Bettelyoun Lmft

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6800381559

PECOS Enrollment IDI20251219001169

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.

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.

BARBARA I BENSON RD

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