Lakes Center for Youth and Families

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1179 Issued in MN

Legal business name

LAKES CENTER FOR YOUTH AND FAMILIES

Practice address

20 N Lake Street
Suite 103
Forest Lake, MN 55025

Phone

(651) 464-3685

Fax

(651) 464-3687

NPI assigned

Jan 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Linda M Madsen

Title

Executive Director

Phone

(651) 464-3685

Specialties & licenses 2

Addresses

Other names 1

• Lakes Area Youth Service Bureau Former legal business name

Locations

Practitioners 3

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

• Rebecca Bowers, LMFT

  • Marriage & Family Therapist
  • Forest Lake, MN
  • NPI 1396250858
  NPD (past)
• Carrie Renee Niles, MA

  • Mental Health Counselor
  • Roseville, MN
  • NPI 1700350006
  NPD (past)
• Kari Lyn Wampler, MA, LMFT

  • Marriage & Family Therapist
  • Forest Lake, MN
  • NPI 1609043876

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1982842167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N LAKE STREET",
            "address_2": "SUITE 103",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "55025",
            "telephone_number": "651-464-3685",
            "fax_number": "651-464-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N LAKE STREET",
            "address_2": "SUITE 103",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "55025",
            "telephone_number": "651-464-3685",
            "fax_number": "651-464-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES CENTER FOR YOUTH AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-464-3685",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1179",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Area Youth Service Bureau",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lakes Area Youth Service Bureau",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Kreulen, LICSW
• Mark Kropidlowski
• Laura A D Kunde, LADC, LMFT
• Amber Pearl Kunz, LMT
• Lakes Area Human Services, Inc.
• Lakes Dental Assoc PA (Lakes Dental Clinic)
• Lakes International Language Academy
• Lakes Snyder Drug, Inc
• Lakewoods Chiropractic P.a.
• Rita Lambrecht, PT

• Mental Health Counselor in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.