NPIMap

Organization Active NPI

Lakes Area Human Services, Inc.

  • Community/Behavioral Health Agency
  • Forest Lake, MN
National Provider Identifier
1700956646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4454726 Issued in MN
Legal business name
LAKES AREA HUMAN SERVICES, INC.
Practice address
882 SW 15TH St.
Forest Lake, MN 55025-1331
Phone
(651) 464-2194
Fax
(651) 464-5744
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Charlotte Louise Stack, RN, CNS,ARNPNPI 1700955648
Title
Admomnistrative Director
Phone
(651) 464-2194

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
Community/Behavioral Health Agency 251S00000X 4454726 MN Primary

Addresses

Primary practice location

882 SW 15TH St.
Forest Lake, MN 55025-1331

Mailing address

882 SW 15TH St.
Foresst Lake, MN 55025-1331
Phone (651) 464-2194

National Provider Directory

National Provider Directory

Locations

1068 Lake St S
Ste 12
Forest Lake, MN 55025
Phone (651) 464-2194

882 15th St SW
Forest Lake, MN 55025
Phone (651) 464-2194

1825 Curve Crest Blvd W
Stillwater, MN 55082
Phone (612) 351-8375

Practitioners & affiliated clinicians

Practitioners 10

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700956646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 SW 15TH ST.",
            "city": "FORESST LAKE",
            "state": "MN",
            "postal_code": "550251331",
            "telephone_number": "651-464-2194",
            "fax_number": "651-464-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 SW 15TH ST.",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251331",
            "telephone_number": "651-464-2194",
            "fax_number": "651-464-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMOMNISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "651-464-2194",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CNS,ARNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "4454726",
            "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 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.