NPIMap

Organization Active NPI

Lakeland Hospital Acquisition, LLC

  • Psychiatric Hospital
  • Springfield, MO
National Provider Identifier
1720165327
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
432-14 Issued in MO
Legal business name
LAKELAND HOSPITAL ACQUISITION, LLC
Practice address
440 South Market Ave
Springfield, MO 65806-2026
Phone
(417) 865-5581
Fax
(417) 865-5964
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Brian P. Farley
Title
Vice President & Secretary
Phone
(615) 861-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 432-14 MO Primary
Psychiatric Residential Treatment Facility 323P00000X 000754769 MO

Addresses

Primary practice location

440 South Market Ave
Springfield, MO 65806-2026

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other identifiers 4

IdentifierTypeStateIssuer
200371220AMedicaidKS
107192OtherMOBC PROVIDER NUMBER
118836125MedicaidAR
011287901MedicaidMO

Other names 1

  • Lakeland Behavioral Health System Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100820000378 MO Part A Provider - Hospital 6204960677 Practice locations: Springfield, MO
O20130925000626 MO Part B Supplier - Clinic/Group Practice 6204960677 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Springfield, MO

Hospital certification: CCN 264024

Legal name
LAKELAND HOSPITAL ACQUISITION LLC
Doing business as
LAKELAND BEHAVIORAL HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Apr 1, 1990
Last certification
Sep 25, 2019
Beds
106
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Enrollment address
440 S Market Ave
Springfield, MO 65806-2026
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Lakeland Behavioral Health SystemCCN 264024
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

440 S Market Ave
Springfield, MO 65806
Phone (417) 865-5581

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVP of Business Office Operations Jun 11, 2012
Todd S Young Individual Corporate OfficerVice President & Treasureer Oct 27, 2025
Acadia Healthcare Company Inc Organization, Franklin, TN Corporation, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Apr 1, 2011 100%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jun 18, 2018
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Nathan Duncan Individual W-2 Managing EmployeeFacility Ceo Feb 1, 2014
Christopher H Hunter Individual Corporate OfficerPresident Apr 11, 2022
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1720165327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SOUTH MARKET AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062026",
            "telephone_number": "417-865-5581",
            "fax_number": "417-865-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOSPITAL ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MO",
            "license": "432-14",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "000754769",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200371220A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NUMBER",
            "identifier": "107192",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118836125",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011287901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeland Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.