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LAUREN FORTMAN MA, LADC, LPCC
NPI 1811366891
Counselor - Professional in Minnetonka, MN

Active since September 18, 2015PECOS Enrolled
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305(952) 206-2040(952) 206-2041 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2024, Oct 19, 2018, Sep 20, 2018 and 1 more (4 updates tracked since 2015).

About Lauren Fortman Ma, Ladc, Lpcc NPPES

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

LAUREN FORTMAN MA, LADC, LPCC (NPI 1811366891) is an individual professional provider in Minnetonka, Minnesota, licensed in Minnesota (1934) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1811366891
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAUREN FORTMANCredential: MA, LADC, LPCC
Location Address13100 WAYZATA BLVD STE 200Minnetonka, MN 55305-1810
Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786 · (651) 243-1566
Phone(952) 206-2040
Fax(952) 206-2041
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 18, 2015
Last NPPES UpdateApril 1, 20244 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1811366891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 1934
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304231 (MN)
13100 WAYZATA BLVD STE 200, Minnetonka, MN 55305
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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)

Lauren Fortman Ma, Ladc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961849757
PECOS Enrollment IDI20240328003193
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 Reassignment

Medicare enrollment records show Lauren Fortman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Recovery Organization LLC
26 mi
Professional
700 COMMERCE DR STE 245
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1639715402 (651) 204-9144

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.

JACEY TUPA
Marriage & Family Therapist
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
GAGE O'NEAL
Social Worker (Clinical)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
CHARELL DUTTON
Counselor (Professional)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
COLLEEN LONGHENRY
Counselor (Addiction (Substance Use Disorder))
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
AUDREY COHEN LADC
Counselor (Addiction (Substance Use Disorder))
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
MS. CARA LYNN CORO MSW, LGSW
Counselor (Mental Health)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
ZOE SPENCER BERNARD
Counselor (Mental Health)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
MEGAN D NELSON LICSW
Social Worker (Clinical)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040

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 Lauren Fortman's NPI number?

The NPI number for Lauren Fortman is 1811366891. It was assigned to this individual provider in the NPPES registry on September 18, 2015.

Where is Lauren Fortman located?

Lauren Fortman practices at 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305. The listed phone number is (952) 206-2040.

What is Lauren Fortman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lauren Fortman enrolled in Medicare?

Yes. Lauren Fortman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lauren Fortman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Fortman reassigns Medicare benefits to Professional Recovery Organization LLC (Woodbury, MN). The 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 Lauren Fortman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Fortman accept?

Health plans from HealthPartners list Lauren Fortman 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 Lauren Fortman was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.