LAKEVILLE FAMILY THERAPY – Community/Behavioral Health Agency, NPI 1114268943

LAKEVILLE FAMILY THERAPY is a healthcare provider. based in Lakeville, Minnesota. specializing in Community/Behavioral Health Agency. The organization holds a License No. 19327 (MN). The NPI Number for LAKEVILLE FAMILY THERAPY is 1114268943

Main info

Organization
Name
LAKEVILLE FAMILY THERAPY
NPI
1114268943
Phone
(612) 750-0263
Address
17595 KENWOOD TRL
Authorized Official
KATHLEEN MARIE KELLY OWNER MSW, LICSW
Enumeration Date
4 March 2013
Last Update Date
4 March 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for LAKEVILLE FAMILY THERAPY

  • 17595 KENWOOD TRL

    SUITE 210

    LAKEVILLE, MN 550449226

    Phone: (612) 750-0263

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55044)

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Reviews

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Frequently asked questions

Where can patients find LAKEVILLE FAMILY THERAPY's NPI?
You can confirm LAKEVILLE FAMILY THERAPY with NPI 1114268943; it appears in the national provider directory.
Is LAKEVILLE FAMILY THERAPY active in the national directory?
LAKEVILLE FAMILY THERAPY's public NPI profile is in an active state.
What kind of provider is LAKEVILLE FAMILY THERAPY?
The page reflects Community/Behavioral Health Agency for LAKEVILLE FAMILY THERAPY. Clinical services aligned with this taxonomy classification.
What location shows for LAKEVILLE FAMILY THERAPY?
We surface Lakeville, Minnesota for LAKEVILLE FAMILY THERAPY based on available NPPES addresses.
How can I contact LAKEVILLE FAMILY THERAPY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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