Lyn-Lake Psychotherapy and Wellness Ltd.
NPI 1609355163 · Clinical Psychologist · Minneapolis, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lyn-Lake Psychotherapy and Wellness Ltd. is a Clinical Psychologist organization in Minneapolis, MN (NPI 1609355163).
Provider details
- NPI number
- 1609355163
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Emily Van Wyk, President(651) 485-8417
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-07
- Last updated
- 2021-01-04
- Certified
- 2021-01-04
Frequently asked questions
- What is Lyn-Lake Psychotherapy and Wellness Ltd.'s NPI number?
- Lyn-Lake Psychotherapy and Wellness Ltd.'s National Provider Identifier (NPI) is 1609355163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lyn-Lake Psychotherapy and Wellness Ltd.?
- Lyn-Lake Psychotherapy and Wellness Ltd. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Lyn-Lake Psychotherapy and Wellness Ltd. located?
- Lyn-Lake Psychotherapy and Wellness Ltd.'s practice location on file with NPPES is 621 W Lake St Ste 350, Minneapolis, MN 55408-2952.
- What is Lyn-Lake Psychotherapy and Wellness Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Lyn-Lake Psychotherapy and Wellness Ltd. is (612) 979-2276.
- Does Lyn-Lake Psychotherapy and Wellness Ltd. accept Medicare?
- Lyn-Lake Psychotherapy and Wellness Ltd. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lyn-Lake Psychotherapy and Wellness Ltd.?
- The authorized official listed on Lyn-Lake Psychotherapy and Wellness Ltd.'s NPPES record is Emily Van Wyk, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lyn-Lake Psychotherapy and Wellness Ltd.'s NPI active?
- Yes — Lyn-Lake Psychotherapy and Wellness Ltd.'s NPI (1609355163) is active in the NPPES registry as of the last update on 2021-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.