Organization Active NPI

St Croix Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, MN
National Provider Identifier
1144567546
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ST CROIX PSYCHIATRIC SERVICES, PLLC
Practice address
700 Quality LN N
Lakeland, MN 55043-9624
Phone
(612) 251-0074
Fax
(855) 758-2853
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Karalee Ann Lubbers Labreche, DNP, RN, CNS, CNP
Title
Owner
Phone
(612) 251-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

700 Quality LN N
Lakeland, MN 55043-9624

Mailing address

PO Box 252
Lakeland, MN 55043-0252
Phone (612) 251-0074

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1144567546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550430252",
            "telephone_number": "612-251-0074",
            "fax_number": "855-758-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUALITY LN N",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550439624",
            "telephone_number": "612-251-0074",
            "fax_number": "855-758-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "LABRECHE",
        "authorized_official_first_name": "KARALEE",
        "authorized_official_middle_name": "ANN LUBBERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-251-0074",
        "authorized_official_credential": "DNP, RN, CNS, CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.