Lion Youth & Community Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

2571659 Issued in MN

Legal business name

LION YOUTH & COMMUNITY SERVICES LLC

Practice address

807 Division St S
Northfield, MN 55057-2430

Phone

(320) 420-1272

Fax

(320) 240-6814

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Longfellow Hanna II, LICSWNPI 1295812105

Title

Owner

Phone

(320) 420-1272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Kenneth Longfellow Hanna II, LICSW

  • Clinical Social Worker
  • Northfield, MN
  • NPI 1295812105
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1902302722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 25TH AVE S STE 209",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014866",
            "telephone_number": "320-420-1272",
            "fax_number": "320-240-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 DIVISION ST S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572430",
            "telephone_number": "320-420-1272",
            "fax_number": "320-240-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LION YOUTH & COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LONGFELLOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-420-1272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "2571659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Baker School Association (Laura Baker Services Association)
• Shaele Leach
• Claire Crandall Leduc, RN, APRN, CRNA
• Tricia L Liggett
• Ronald Larry Linde, MD
• Bobbi Arynn Livengood, MD
• Susan Lohmann, LICSW
• Donald L Lum, MD
• Kathryn Lund, MSW, LICSW
• Luxottica of America Inc (Target Optical P047)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Northfield, MN
• Providers in Northfield, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.