Individual provider Active NPI

Ellie Lenarz, MS, CCC-SLP

  • Speech-Language Pathologist
  • Eden Prairie, MN
National Provider Identifier
1659259570
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LICC-3901 Issued in MN
Practice address
6533 Flying Cloud Dr Ste 200
Eden Prairie, MN 55344-3335
Phone
(952) 215-3769
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LICC-3901 MN Primary

Addresses

Primary practice location

6533 Flying Cloud Dr Ste 200
Eden Prairie, MN 55344-3335

Mailing address

835 Lakewood Dr SW
Hutchinson, MN 55350-6730
Phone (320) 296-4529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007004108 MN Practitioner - Qualified Speech Language Pathologist 2365949252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1160 Centre Pointe Dr
Suite 7
Mendota Heights, MN 55120-1351

1160 Centre Pointe Dr
Suite 7
Mendota Heights, MN 55120-1377

PO Box
Boston, MA 02241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LICC-3901MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Speech & Therapy Services, LLC Speech-Language Pathologist CurrentSince Dec 8, 2025 Accepting new patients
Holland Center CurrentSince Jul 19, 2025 Accepting new patients

Locations

1891 Station Pkwy NW
Andover, MN 55304
Phone (763) 307-4589

6533 Flying Cloud Dr
Ste 200
Eden Prairie, MN 55344
Phone (612) 391-4145

10273 Yellow Circle Dr
Minnetonka, MN 55343
Phone (952) 401-9359

4301 Highway 7
Ste 155
St Louis Park, MN 55416
Phone (763) 755-4261

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1659259570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 LAKEWOOD DR SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553506730",
            "telephone_number": "320-296-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 FLYING CLOUD DR STE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443335",
            "telephone_number": "952-215-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENARZ",
        "first_name": "ELLIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "LICC-3901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.