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IndividualActiveMedicare EnrolledCan Order/Refer

Corey John Ennis

Counselor - Mental Health

NPI: 1851281794Woodbury, Minnesota, 55125(612) 430-9181Male

About Corey John Ennis

Corey John Ennis is a male healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1851281794. Corey John Ennis received his medical education at OTHER, graduating in 2022.

Their primary practice is located at 652 BIELENBERG DR STE 103, Woodbury, Minnesota 55125. Patients can reach the office at (612) 430-9181. In addition to the primary location, Corey John Ennis maintains 1 additional practice location.

Corey John Ennis is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Corey John Ennis has been NPI-registered since 2025.

Key Metrics

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1851281794
Entity Type
Individual
First Name
Corey
Last Name
Ennis
Gender
Male
Medical School
OTHER
Graduation Year
2022
Sole Proprietor
No
Status
active

Primary Practice Location

Address
652 BIELENBERG DR STE 103
City
Woodbury
State
Minnesota
ZIP
55125-4419
Country
United States
Phone
(612) 430-9181

Specialty & Taxonomy

Primary Specialty
Counselor - Mental Health
Classification
Counselor
Specialization
Mental Health
Taxonomy Code
101YM0800X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
2330 LEXINGTON AVE S APT 206
City
MENDOTA HEIGHTS
State
MN
ZIP
551201225

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Corey John Ennis's NPI number?
Corey John Ennis's National Provider Identifier (NPI) is 1851281794. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Corey John Ennis specialize in?
Corey John Ennis specializes in Counselor - Mental Health. They received their medical education at OTHER (class of 2022).
Where is Corey John Ennis located?
Corey John Ennis practices at 652 BIELENBERG DR STE 103, Woodbury, Minnesota 55125. You can reach them by phone at (612) 430-9181. They also have 1 additional practice location.
Does Corey John Ennis accept Medicare?
Yes, Corey John Ennis is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Corey John Ennis offer telehealth or virtual visits?
Corey John Ennis does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Corey John Ennis is 1851281794.