NPIMap

Organization Active NPI

Lake Pointe Resource Center, Inc.

  • Behavior Analyst
  • Granbury, TX
National Provider Identifier
1750058103
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LAKE POINTE RESOURCE CENTER, INC.
Practice address
1260 Weatherford Hwy
Granbury, TX 76048-4822
Phone
(682) 333-1555
Fax
(817) 717-2378
NPI assigned
Aug 24, 2021
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Madalyn Cano, MSSW, LCSWNPI 1265117428
Title
President/Ceo
Phone
(682) 333-1555

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1260 Weatherford Hwy
Granbury, TX 76048-4822

Mailing address

1260 Weatherford Hwy
Granbury, TX 76048-4822
Phone (682) 333-1555

Other identifiers 1

IdentifierTypeStateIssuer
453449701MedicaidTX

National Provider Directory

National Provider Directory

Locations

1260 Weatherford Hwy
Granbury, TX 76048
Phone (682) 333-1555

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1750058103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 WEATHERFORD HWY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484822",
            "telephone_number": "682-333-1555",
            "fax_number": "817-717-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 WEATHERFORD HWY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484822",
            "telephone_number": "682-333-1555",
            "fax_number": "817-717-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE POINTE RESOURCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "MADALYN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "682-333-1555",
        "authorized_official_credential": "MSSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "453449701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.