Organization Active NPI

Sunrise Lakes Mental Health PLLC

  • Clinic/Center
  • Forest Lake, MN
National Provider Identifier
1518813013
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUNRISE LAKES MENTAL HEALTH PLLC
Practice address
155 Lake St S Ste 102
Forest Lake, MN 55025-2604
Phone
(715) 558-3395
NPI assigned
Mar 6, 2026
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Hunter DuffyNPI 1538053921
Title
Owner
Phone
(715) 558-3395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

155 Lake St S Ste 102
Forest Lake, MN 55025-2604

Mailing address

155 Lake St S Ste 102
Forest Lake, MN 55025-2604

National Provider Directory

National Provider Directory

Locations

155 Lake St S
Ste 102
Forest Lake, MN 55025
Phone (651) 461-1438

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1518813013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LAKE ST S STE 102",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LAKE ST S STE 102",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252604",
            "telephone_number": "715-558-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE LAKES MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-558-3395"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.