NPIMap

Organization Active NPI

Fairweather Investments, LLC

Doing business as Lakeville Behavioral Health

  • Mental Health Counselor
  • Lakeville, MN
National Provider Identifier
1982238770
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAIRWEATHER INVESTMENTS, LLC
Doing business as
Lakeville Behavioral Health
Practice address
10535 165TH St W
Lakeville, MN 55044-5729
Phone
(952) 435-0022
Fax
(952) 435-0095
NPI assigned
Mar 2, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Jill Pritchard, LMFTNPI 1033500905
Title
Owner/President
Phone
(952) 435-0022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

10535 165TH St W
Lakeville, MN 55044-5729

Mailing address

10535 165TH St W
Lakeville, MN 55044-5729
Phone (952) 435-0022

Other names 1

  • Lakeville Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018003703 MN Part B Supplier - Clinic/Group Practice 8123550829 Receives reassigned benefits from 16 practitioners
Practice locations: Lakeville, MN

National Provider Directory

National Provider Directory

Locations

10535 165th St W
Lakeville, MN 55044
Phone (952) 435-0022

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1982238770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445729",
            "telephone_number": "952-435-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445729",
            "telephone_number": "952-435-0022",
            "fax_number": "952-435-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWEATHER INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "952-435-0022",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeville Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.