LAKELAND MENTAL HEALTH CENTER, INC. (NPI# 1366480287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366480287 |
| Entity Type | Organization |
| Organization Name | LAKELAND MENTAL HEALTH CENTER, INC. |
| Practice Address |
980 S Tower Rd Fergus Falls MN 56537-5505 |
| Practice Telephone | 2187366987 |
| Practice Fax Number | 2187360734 |
| Mailing Telephone | 2187366987 |
| Mailing Fax Number | 2187360734 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | MR. CLAIR A. PRODY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2187391729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 434755200 | MN | Agencies |
| N | 251B00000X | Case Management | 434755211 | MN | Agencies |
| N | 251B00000X | Case Management | 434755212 | MN | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
801338-1-MHC | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 250357300 | 05 | |
| MN | UCARE MINNESOTA | 109513 | 01 |
| MN | 434755200 | 05 | |
| MN | 434755211 | 05 | |
| MN | 434755212 | 05 | |
| MN | BLUE SHIELD OF MINNESOTA | 62522LA | 01 |
| MN | PRIME WEST HEALTH SYSTEM | 030701035 | 01 |
| Street Address |
980 S TOWER RD |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857537 | Hillary Langfeld | Social Worker | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2020-10-02 |
| 1215591300 | Dawn Marie Gehrke | Social Worker | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2019-04-24 |
| 1861989378 | Colleen L Kennedy | Social Worker | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2018-04-19 |
| 1104332030 | Genny Marie Kuhn-rice | Counselor | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2017-12-14 |
| 1942711148 | Tera Mary Oland | Counselor | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2017-10-16 |
| 1265967368 | Britt Piekarski | Counselor | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2017-04-26 |
| 1588113849 | David Diederich Churchill | Marriage & Family Therapist | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2016-09-28 |
| 1063869055 | Lakeland Mental Health Center | Case Manager/Care Coordinator | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2016-05-19 |
| 1154778140 | Lakeland Mental Health Center | Case Manager/Care Coordinator | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2016-05-19 |
| 1972950962 | Lakeland Mental Health Center | Case Manager/Care Coordinator | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760944615 | The Blue Lotus, LLC | Clinic/Center | 225 W Cavour Ave Ste C, Fergus Falls, MN 56537-2140 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698671 | St. Cloud Tms LLC | Clinic/Center | 925 E Superior St Ste 106, Duluth, MN 55802-2253 | 2020-10-30 |
| 1740880764 | East Metro Trauma and Recovery LLC | Clinic/Center | 4116 Hoffman Rd, White Bear Lake, MN 55110-3708 | 2020-10-28 |
| 1851991160 | Gratia Counseling & Consulting, LLC | Clinic/Center | 2705 Bunker Lake Blvd Nw Ste 103, Andover, MN 55304-3786 | 2020-10-27 |
| 1508465147 | Piece of Mind Counseling Services, Pllc | Clinic/Center | 1122 Bemidji Ave N, Bemidji, MN 56601-2833 | 2020-10-24 |
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1275149007 | Clarity Counseling Services Pllc | Clinic/Center | 521 W Highway 2, Cohasset, MN 55721-2300 | 2020-09-17 |
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1427662592 | Threesixty, LLC | Clinic/Center | 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 | 2020-09-04 |
| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
Please comment or provide details below to improve the information on LAKELAND MENTAL HEALTH CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.