Organization Active NPI

Lake Region Law Enforcement Center

  • Registered Nurse
  • Devils Lake, ND
National Provider Identifier
1114819828
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
LAKE REGION LAW ENFORCEMENT CENTER
Practice address
222 Walnut St W
Devils Lake, ND 58301-3596
Phone
(701) 662-0700
Fax
(701) 662-0707
NPI assigned
Jul 17, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Starr Klemetsrud
Title
Director
Phone
(701) 662-0700

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

222 Walnut St W
Devils Lake, ND 58301-3596

Mailing address

222 Walnut St W
Devils Lake, ND 58301-3596
Phone (701) 662-0700

Other practice location 1

225 Walnut St W
Devils Lake, ND 58301-3503
Phone (701) 662-0735

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D1107723Lake Region Law Enforcement Center222 Walnut St W, Devils Lake, ND 58301Certificate of waiverJul 1, 2026

National Provider Directory

National Provider Directory

Locations

225 Walnut St W
Devils Lake, ND 58301
Phone (701) 662-0735

222 Walnut St W
Devils Lake, ND 58301
Phone (701) 662-0700

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1114819828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WALNUT ST W",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013596",
            "telephone_number": "701-662-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WALNUT ST W",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013596",
            "telephone_number": "701-662-0700",
            "fax_number": "701-662-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Walnut St W",
            "address_purpose": "LOCATION",
            "city": "Devils Lake",
            "state": "ND",
            "postal_code": "583013503",
            "country_code": "US",
            "telephone_number": "701-662-0735",
            "fax_number": "701-662-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE REGION LAW ENFORCEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "KLEMETSRUD",
        "authorized_official_first_name": "STARR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-662-0700"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.