Organization Active NPI

The Lotus Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Moorhead, MN
National Provider Identifier
1407323264
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THE LOTUS CENTER, INC.
Practice address
200 5TH St S Ste 105
Moorhead, MN 56560-2768
Phone
(218) 284-1800
Fax
(218) 284-1801
NPI assigned
Oct 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Mrs. Sarah Priscilla Chatelain-Gress, LSW
Title
Executive Director
Phone
(218) 284-1800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

200 5TH St S Ste 105
Moorhead, MN 56560-2768

Mailing address

1401 8TH St S Ste 3
Moorhead, MN 56560-3658
Phone (218) 284-1803

Other identifiers 2

IdentifierTypeStateIssuer
1478390MedicaidND
1090378MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
The Lotus Center Inc3 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.

Locations

200 5th St S
Ste 105
Moorhead, MN 56560
Phone (218) 284-1800

1401 8th St S
Ste 3
Moorhead, MN 56560
Phone (218) 284-1800

Practitioners & affiliated clinicians

Practitioners 3

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": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1407323264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 8TH ST S STE 3",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603658",
            "telephone_number": "218-284-1803",
            "fax_number": "218-600-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH ST S STE 105",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602768",
            "telephone_number": "218-284-1800",
            "fax_number": "218-284-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOTUS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2022-09-21",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "CHATELAIN-GRESS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "PRISCILLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-284-1800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1478390",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090378",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.