NPIMap

Organization Active NPI

Lakeland Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fergus Falls, MN
National Provider Identifier
1366480287
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
801338-1-MHC Issued in MN
Legal business name
LAKELAND MENTAL HEALTH CENTER, INC.
Practice address
980 S Tower Rd
Fergus Falls, MN 56537-5505
Phone
(218) 736-6987
Fax
(218) 736-0734
NPI assigned
Jun 3, 2006
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Mrs. Donna Baker
Title
Ceo
Phone
(218) 299-6669

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 434755200 MN
Case Management Agency 251B00000X 434755211 MN
Case Management Agency 251B00000X 434755212 MN
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 801338-1-MHC 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

Other practice location 1

928 8th St SE
Detroit Lakes, MN 56501-2839
Phone (218) 847-1676

Other practice location 2

1010 32nd Ave S
Moorhead, MN 56560-5001
Phone (218) 233-7524

Other practice location 3

702 34th Ave E
Alexandria, MN 56308-2599
Phone (320) 762-2400

Other practice location 4

14 6th Ave NW
Glenwood, MN 56334-1160
Phone (320) 634-3446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000073 MN Part B Supplier - Clinic/Group Practice 1759291891 Receives reassigned benefits from 44 practitioners
Practice locations: Detroit Lakes, MN; Moorhead, MN; Glenwood, MN; Fergus Falls, MN; Alexandria, MN

National Provider Directory

National Provider Directory

Locations

700 Cedar St
Ste 154
Alexandria, MN 56308
Phone (320) 762-2400

702 34th Ave E
Alexandria, MN 56308
Phone (320) 762-2400

714 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-6150

126 E Alcott Ave
Fergus Falls, MN 56537
Phone (218) 736-6987

980 S Tower Rd
#1541
Fergus Falls, MN 56537

14 6th Ave NW
Glenwood, MN 56334
Phone (320) 634-3446

Practitioners & affiliated clinicians

Practitioners 69

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.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1366480287",
    "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": [
        {
            "address_1": "928 8th St SE",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565012839",
            "country_code": "US",
            "telephone_number": "218-847-1676",
            "fax_number": "218-847-1678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 32nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605001",
            "country_code": "US",
            "telephone_number": "218-233-7524",
            "fax_number": "218-233-8627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 34th Ave E",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563082599",
            "country_code": "US",
            "telephone_number": "320-762-2400",
            "fax_number": "320-762-8047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 6th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "MN",
            "postal_code": "563341160",
            "country_code": "US",
            "telephone_number": "320-634-3446",
            "fax_number": "320-634-0384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKELAND MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-299-6669",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "434755200",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "434755211",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "434755212",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "801338-1-MHC",
            "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 Sep 20, 2021; 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.