LAKELAND MENTAL HEALTH CENTER, INC. – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1366480287
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAKELAND MENTAL HEALTH CENTER, INC.
1010 32nd Ave S
Moorhead, MN 565605001
Phone: (218) 233-7524
Fax: (218) 233-8627
Type: Location
928 8th St SE
Detroit Lakes, MN 565012839
Phone: (218) 847-1676
Fax: (218) 847-1678
Type: Location
14 6th Ave NW
Glenwood, MN 563341160
Phone: (320) 634-3446
Fax: (320) 634-0384
Type: Location
702 34th Ave E
Alexandria, MN 563082599
Phone: (320) 762-2400
Fax: (320) 762-8047
Type: Location
South Tower Road, River Bluff Estates, Fergus Falls, Otter Tail County, Minnesota, 56537, United States
FERGUS FALLS, MN 565375505
Phone: (218) 736-6987
Fax: (218) 736-0734
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (678 days ago).
Enrollment records
1
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031105000073 | O | Clinic/Group Practice | MN | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 56560)
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