Lakes Counseling Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LAKES COUNSELING SERVICES LLC

Practice address

1518 E Lake St Ste 209
Minneapolis, MN 55407-1849

Phone

(612) 412-3318

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Intisar O HusseinNPI 1235613597

Title

President

Phone

(612) 412-3318

Specialties & licenses 1

Addresses

Tax ID family

Lakes Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakes Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1700359874
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Intisar O Hussein, MSW, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1235613597
  NPD (past) Authorized official

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1083120190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BROADWAY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132617",
            "telephone_number": "612-412-3318",
            "fax_number": "612-288-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 E LAKE ST STE 209",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071849",
            "telephone_number": "612-412-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "INTISAR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-412-3318"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Recovery, LLC
• Lakeland Transportation Services LLC
• Lakes Adult Day Care Inc
• Lakes Autism Therapy Center
• Lakes Center for Chiropractic P.a.
• Lakes Counseling Services LLC
• Lakes Holistic Care LLC
• Lakes Homecare LLC
• Lakes Medical Equipment Inc. (None)
• Lakes Wellness Center LLC

• Case Management Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.