West Lake Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1325 Issued in MN

Legal business name

WEST LAKE FAMILY SERVICES

Practice address

700 Twelve Oaks Center Dr
#260 Upstairs
Wayzata, MN 55391-4401

Phone

(763) 383-0247

Fax

(763) 577-9924

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dean Grauds, M.ANPI 1780716977

Title

Director

Phone

(763) 383-0247

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dean S. Grauds, M.A.,

  • Mental Health Counselor
  • Wayzata, MN
  • NPI 1780716977
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477685691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18020 28TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471627",
            "telephone_number": "763-383-0247",
            "fax_number": "763-577-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TWELVE OAKS CENTER DR",
            "address_2": "#260 UPSTAIRS",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914401",
            "telephone_number": "763-383-0247",
            "fax_number": "763-577-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAKE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAUDS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-383-0247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Wayzata, MN
• Providers in Wayzata, 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.