NPIMap

Organization Active NPI

Lake-Geauga Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Mentor, OH
National Provider Identifier
1750489779
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LAKE-GEAUGA RECOVERY CENTERS, INC.
Practice address
9083 Mentor Avenue
Mentor, OH 44060-6348
Phone
(440) 205-2674
Fax
(440) 255-6348
NPI assigned
Sep 21, 2006
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Ms. Michelle Bertman, LISW-SNPI 1144500703
Title
President Ceo
Phone
(440) 205-2674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

9083 Mentor Avenue
Mentor, OH 44060-6348

Mailing address

9083 Mentor Avenue
Mentor, OH 44060-6348
Phone (440) 205-2674

Other names 1

  • Lake Geauga Center on Alcoholism and Drug Abuse Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160628001636 OH Part B Supplier - Clinic/Group Practice 6406147198 Receives reassigned benefits from 12 practitioners
Practice locations: Painesville, OH; Mentor, OH; Concord Township, OH; Chardon, OH

National Provider Directory

National Provider Directory
Tax ID family
Lake-Geauga Recovery Centers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

209 Center St
Unit E
Chardon, OH 44024
Phone (440) 285-8533

760 Oak St
Painesville, OH 44077
Phone 44025506782008

796 Oak St
Painesville, OH 44077
Phone (440) 205-2673

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1750489779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9083 MENTOR AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606348",
            "telephone_number": "440-205-2674",
            "fax_number": "440-255-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9083 MENTOR AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606348",
            "telephone_number": "440-205-2674",
            "fax_number": "440-255-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE-GEAUGA RECOVERY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "BERTMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "440-205-2674",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Geauga Center on Alcoholism and Drug Abuse Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.