Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Fortman, MA, LADC, LPCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811366891

Lauren Fortman, MA, LADC, LPCC is a Mental Health Counselor in Minnetonka, Minnesota. Qualified in 2015, 11 years ago. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

13100 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1810
Phone: (952) 206-2040
Fax: (952) 206-2041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1934 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304231 (MN)

Record details

NPI number1811366891
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LADC , LPCC
Sole proprietorNo
NPI enumeratedSeptember 18, 2015
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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