Active NPI
Theodore R. Liautaud
Doing business as Lakes Counseling & Psychiatry
- Mental Health Counselor
- Lake View, IA
National Provider Identifier
1487779575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 01790
- Legal business name
- THEODORE R. LIAUTAUD
- Doing business as
- Lakes Counseling & Psychiatry
- Practice address
- 421 E Shore Dr
Lake View, IA 51450 - Phone
- (712) 657-2211
- Fax
- (712) 657-2106
- NPI assigned
- Mar 20, 2007
- Last updated
- Sep 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theodore R. Liautaud, DO
- Title
- Owner
- Phone
- (712) 657-2211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 01790 | IA | Primary |
| Psychiatry Physician | 2084P0800X | 01790 | IA |
Addresses
Primary practice location
421 E Shore Dr
Lake View, IA 51450
Mailing address
PO Box 710
421 E Shore Dr
Lake View, IA 51450
Phone (712) 657-2211
Other names 1
- Lakes Counseling & Psychiatry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Storm Lake, IA
- NPI 1073822151
-
- Clinical Social Worker
- Lake View, IA
- NPI 1861578411
-
- Psychiatric/Mental Health Nurse Practitioner
- Springfield, MO
- NPI 1861400608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222732800000",
"number": "1487779575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 710",
"address_2": "421 E SHORE DR",
"city": "LAKE VIEW",
"state": "IA",
"postal_code": "51450",
"telephone_number": "712-657-2211",
"fax_number": "712-657-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 E SHORE DR",
"city": "LAKE VIEW",
"state": "IA",
"postal_code": "51450",
"telephone_number": "712-657-2211",
"fax_number": "712-657-2106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEODORE R. LIAUTAUD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-09-30",
"status": "A",
"authorized_official_last_name": "LIAUTAUD",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "712-657-2211",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "01790",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "01790",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakes Counseling & Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake View, IA
- Pharma340 LLC (Community Pharmacy of Lake View)
- Preferred Image
- Alecia Ann Smith, LISW
- Stewart Memorial Community Hospital (Stewart Memorial Clinic Lake View)
- Jenna Sturm
- Bryan Thompson
- Trimark Physicians Group (UnityPoint Clinic)
- Trimark Physicians Group Inc (Trimark Physicians Group)
- Trinity Regional Medical Center (Unitypoint Clinic Family Medicine Lake View)
- Elsie Verbik, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.