Organization Active NPI

Lakes Lifeskills LLC

  • Community/Behavioral Health Agency
  • Spirit Lake, IA
National Provider Identifier
1710201520
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKES LIFESKILLS LLC
Practice address
1612 Ithaca Ave
Spirit Lake, IA 51360-1642
Phone
(507) 840-1364
Fax
(507) 662-6655
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Linda Boyd Schofield
Title
Executive Director
Phone
(507) 662-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1612 Ithaca Ave
Spirit Lake, IA 51360-1642

Mailing address

PO Box 431
1612 Ithaca
Spirit Lake, IA 51360
Phone (507) 840-1364

National Provider Directory

National Provider Directory

Locations

1612 Ithaca Ave
Spirit Lake, IA 51360
Phone (507) 840-1364

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1710201520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "address_2": "1612 ITHACA",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "507-840-1364",
            "fax_number": "507-662-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 ITHACA AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601642",
            "telephone_number": "507-840-1364",
            "fax_number": "507-662-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES LIFESKILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "SCHOFIELD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-662-6655"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.