NPIMap

Organization Active NPI

Lakemary Center Inc

  • Psychiatric Residential Treatment Facility
  • Paola, KS
National Provider Identifier
1275508558
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
0003188-008 Issued in KS
Legal business name
LAKEMARY CENTER INC
Practice address
100 Lakemary Dr
Paola, KS 66071-1855
Phone
(913) 557-4000
Fax
(913) 557-4910
NPI assigned
Feb 21, 2006
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Mrs. Michelle Erickson
Title
Cfo
Phone
(913) 533-7280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Psychiatric Residential Treatment Facility 323P00000X 0003188-008 KS Primary

Addresses

Primary practice location

100 Lakemary Dr
Paola, KS 66071-1855

Mailing address

100 Lakemary Dr
Paola, KS 66071-1855
Phone (913) 557-4000

Other identifiers 2

IdentifierTypeStateIssuer
100102750GMedicaidKS
100102750IMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110307000010 KS Part B Supplier - Clinic/Group Practice 2264614734 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Paola, KS

National Provider Directory

National Provider Directory

Locations

501 S Hospital Dr
Ste 400
Paola, KS 66071
Phone (913) 294-4343

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1275508558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKEMARY DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711855",
            "telephone_number": "913-557-4000",
            "fax_number": "913-557-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKEMARY DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711855",
            "telephone_number": "913-557-4000",
            "fax_number": "913-557-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEMARY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "913-533-7280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KS",
            "license": "0003188-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102750G",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102750I",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.