Individual provider Active NPI

Laura Linn Peters, LPCC

  • Professional Counselor
  • Maple Grove, MN
National Provider Identifier
1982251922
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC05375 Issued in MN
Practice address
12918 63Rd Ave N
Maple Grove, MN 55369-6001
Phone
(763) 210-9966
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC05375 MN Primary

Addresses

Primary practice location

12918 63Rd Ave N
Maple Grove, MN 55369-6001

Mailing address

16400 43Rd Ave N
Plymouth, MN 55446-2435
Phone (612) 655-1557

Other names 1

  • Laura Linn Clover Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223002017 MN Practitioner - Mental Health Counselor 7618458175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12918 63Rd Ave N
Maple Grove, MN 55369-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC05375MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Community Services LLC CurrentSince Aug 25, 2019 Accepting new patients
Collaborative Counseling LLC CurrentSince Jan 16, 2026 Accepting new patients
Millennium Medical Services, L.L.C. Professional CurrentSince Aug 25, 2019 Accepting new patients

Locations

12918 63rd Ave N
Maple Grove, MN 55369
Phone (952) 999-1959

312 N Van Buren St
Enid, OK 73703
Phone (580) 297-5125

Organizations & group practices 3

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1982251922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 43RD AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462435",
            "telephone_number": "612-655-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12918 63RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696001",
            "telephone_number": "763-210-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LAURA",
        "middle_name": "LINN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC05375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CLOVER",
            "middle_name": "LINN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.