NPIMap

Organization Active NPI

Lakeland Mental Health Center

  • Case Manager/Care Coordinator
  • Fergus Falls, MN
National Provider Identifier
1154778140
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
801338-1 Issued in MN
Legal business name
LAKELAND MENTAL HEALTH CENTER
Practice address
980 S Tower Rd
Fergus Falls, MN 56537-5505
Phone
(218) 736-6987
Fax
(218) 736-0734
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Clair Prody
Title
Ceo
Phone
(218) 739-1729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X 801338-1 MN Primary

Addresses

Primary practice location

980 S Tower Rd
Fergus Falls, MN 56537-5505

Mailing address

980 S Tower Rd
Fergus Falls, MN 56537-5505
Phone (218) 736-6987

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Mental Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1154778140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 S TOWER RD",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565375505",
            "telephone_number": "218-736-6987",
            "fax_number": "218-736-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 S TOWER RD",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565375505",
            "telephone_number": "218-736-6987",
            "fax_number": "218-736-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "PRODY",
        "authorized_official_first_name": "CLAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-739-1729"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": "801338-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.