NPIMap

Organization Active NPI

The Lakes Region Mental Health Center, Inc.

Doing business as Genesis Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laconia, NH
National Provider Identifier
1902994866
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE LAKES REGION MENTAL HEALTH CENTER, INC.
Doing business as
Genesis Behavioral Health
Practice address
40 Beacon St E
Laconia, NH 03246-3437
Phone
(603) 524-1100
Fax
(603) 527-8113
NPI assigned
Oct 10, 2006
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Cheryl Ferren
Title
Director Revenue Cycle Management
Phone
(603) 524-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

40 Beacon St E
Laconia, NH 03246-3437

Mailing address

40 Beacon St E
Laconia, NH 03246-3437
Phone (603) 524-1100

Other practice location 1

81 Highland St
Plymouth, NH 03264-1249
Phone (603) 524-1100

Other names 1

  • Genesis Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127000134 NH Part B Supplier - Clinic/Group Practice 7911957964 Receives reassigned benefits from 28 practitioners
Practice locations: Laconia, NH; Plymouth, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902994866. Details of each certification follow.

  • CCN 301839 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 301839

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LAKES REGION MENTAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 22, 2020
Last certification
May 22, 2020
Ownership / control type
For profit – corporation
Facility address
40 Beacon St E
Laconia, NH 03246

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2113863Lakes Region Mental Health Center40 Beacon St East, Laconia, NH 03246Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Locations

111 Church St
Laconia, NH 03246
Phone (603) 934-1464

771 N Main St
Laconia, NH 03246
Phone 6035241100256

599 Tenney Mountain Hwy
Plymouth, NH 03264
Phone 60353640001202

81 Highland St
Plymouth, NH 03264
Phone (603) 536-1118

Practitioners & affiliated clinicians

Practitioners 279

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 279

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1902994866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEACON ST E",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "603-524-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACON ST E",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "603-524-1100",
            "fax_number": "603-527-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Highland St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NH",
            "postal_code": "032641249",
            "country_code": "US",
            "telephone_number": "603-524-1100",
            "fax_number": "603-527-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE LAKES REGION MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "FERREN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "603-524-1100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.