Lake Superior Area Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LAKE SUPERIOR AREA FAMILY SERVICES

Practice address

214 W Superior St
Skywalk
Duluth, MN 55802-1904

Phone

(218) 722-2273

Fax

(218) 726-1183

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven E Dentinger, BA, MGTP

Title

Executive Director

Phone

(218) 722-2273

Specialties & licenses 1

Addresses

Other names 1

• Gamblers Intervention Services Other name

Locations

Practitioners 2

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.

• Gregory T Anderson, LP

  • Counseling Psychologist
  • Duluth, MN
  • NPI 1285741819
  NPD (past)
• Lyn Clark Pegg, EDD, MS, LP

  • Counseling Psychologist
  • Duluth, MN
  • NPI 1841303179
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417026667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W SUPERIOR ST",
            "address_2": "SKYWALK",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021904",
            "telephone_number": "218-722-2273",
            "fax_number": "218-726-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W SUPERIOR ST",
            "address_2": "SKYWALK",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021904",
            "telephone_number": "218-722-2273",
            "fax_number": "218-726-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUPERIOR AREA FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENTINGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-722-2273",
        "authorized_official_credential": "BA, MGTP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gamblers Intervention Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cheryl Lagergren
• Kim Louise Lagro, LICSW
• Sharon Diane Lahti, SLP
• Lake Dental PLLC
• Lake Effect Psychotherapy Group LLC
• Lake Superior College Dental Clinic
• Lake Superior Community Health Center
• Lake Superior Community Health Center
• Lake Superior Community Health Center
• Lake Superior Concierge, Inc.

• Community/Behavioral Health Agency in Duluth, MN
• Providers in Duluth, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.