Enlightenment Psychiatry LLC
NPI 1629737473 · Clinic/Center · Park Rapids, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Enlightenment Psychiatry LLC is a Clinic/Center organization in Park Rapids, MN (NPI 1629737473).
Provider details
- NPI number
- 1629737473
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mackenzie Snortum, Owner(320) 321-9599
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
13 documented practice locations
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
Additional practice locations (12)
- 850 2nd St NwAitkin, MN 56431-1140Phone: (218) 927-2164
- 840 2nd St NwAitkin, MN 56431-1158Phone: (218) 927-2164
- 808 Washington Ave Ste 15aDetroit Lakes, MN 56501-3039Phone: (320) 321-9599Fax: (877) 962-3624
- 260 Magnus Johnson St NKimball, MN 55353-2794Phone: (320) 398-8646
- 1104 4th Ave NeLong Prairie, MN 56347-0008Phone: (320) 732-2175
- 20122 239th AveNevis, MN 56467-4209Phone: (320) 321-9599Fax: (877) 962-3624
- 215 Tousley Ave SNew York Mills, MN 56567-4400Phone: (218) 385-4700
- 403 Main Ave S Ste 1Park Rapids, MN 56470-1555Phone: (320) 321-9599Fax: (877) 962-3624
- 18846 Eagle Bend RdPark Rapids, MN 56470-2073
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Enlightenment Psychiatry LLC's NPI number?
- Enlightenment Psychiatry LLC's National Provider Identifier (NPI) is 1629737473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Enlightenment Psychiatry LLC?
- Enlightenment Psychiatry LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Enlightenment Psychiatry LLC located?
- Enlightenment Psychiatry LLC's practice location on file with NPPES is 1011 1st St E Ste 5, Park Rapids, MN 56470-1764.
- What is Enlightenment Psychiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Enlightenment Psychiatry LLC is (320) 321-9599.
- Does Enlightenment Psychiatry LLC accept Medicare?
- Enlightenment Psychiatry LLC 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 Enlightenment Psychiatry LLC?
- The authorized official listed on Enlightenment Psychiatry LLC's NPPES record is Mackenzie Snortum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Enlightenment Psychiatry LLC's NPI active?
- Yes — Enlightenment Psychiatry LLC's NPI (1629737473) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.