COREY JOHN ENNIS
NPI 1851281794
Counselor - Mental Health in Woodbury, MN

Active since July 03, 2025PECOS EnrolledAccepts Medicare Assignment
652 BIELENBERG DR STE 103, WOODBURY, MN 55125(612) 430-9181 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corey John Ennis NPPES

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

COREY JOHN ENNIS (NPI 1851281794) is an individual mental health provider in Woodbury, Minnesota and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851281794
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCOREY JOHN ENNIS
Location Address652 BIELENBERG DR STE 103Woodbury, MN 55125-4419
Mailing Address2330 Lexington Ave S Apt 206Mendota Heights, MN 55120-1225 · (651) 815-9891
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
NPI 1851281794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
652 BIELENBERG DR STE 103, Woodbury, MN 55125

Accepted Insurance

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

Corey John Ennis 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 ID9335657113
PECOS Enrollment IDI20250804000533
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 2

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

Social Worker (Clinical)
652 BIELENBERG DR STE 103
WOODBURY, MN 55125
Marriage & Family Therapist
652 BIELENBERG DR STE 103
WOODBURY, MN 55125

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 Corey Ennis's NPI number?

The NPI number for Corey Ennis is 1851281794. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Corey Ennis located?

Corey Ennis practices at 652 Bielenberg Dr Ste 103, Woodbury, MN 55125. The listed phone number is (612) 430-9181.

What is Corey Ennis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Corey Ennis enrolled in Medicare?

Yes. Corey 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.

What insurance does Corey Ennis accept?

Health plans from HealthPartners list Corey 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 Corey Ennis was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.