Lakeside Mental Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LAKESIDE MENTAL HEALTH

Practice address

45 Washington Ave E
Hutchinson, MN 55350-2574

Phone

(320) 640-2980

Fax

(320) 640-3029

NPI assigned

Dec 20, 2021

Last updated

Feb 18, 2025By 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

Kati Klitzke, PSYD, LPNPI 1750746715

Title

Licensed Clinical Psychologist

Phone

(320) 640-2980

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• Kati Klitzke, PSYD, LP

  • Clinical Psychologist
  • Hutchinson, MN
  • NPI 1750746715
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1457011371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65506 210TH ST",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553555744",
            "telephone_number": "320-640-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WASHINGTON AVE E",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502574",
            "telephone_number": "320-640-2980",
            "fax_number": "320-640-3029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65506 210th St",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "MN",
            "postal_code": "553555744",
            "country_code": "US",
            "telephone_number": "320-640-2980",
            "fax_number": "320-640-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKESIDE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "KLITZKE",
        "authorized_official_first_name": "KATI",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "320-640-2980",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750746715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Krzmarzick, MA LMFT
• Kent R Kuball, DENTIST
• James Kuehl, DC
• Alyssa Ann Kukert
• Isabella Kuphal, OTR
• Charles Lamp, LMFT
• Linda S Landon, RD
• Daniel Lang, DDS
• Joshua Paul Langner, CNP
• Andrew John Larson

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.