| Lake Region Human Service Center | |
|
200 Highway 2 W Devils Lake ND 58301-3532 | |
| (701) 665-2200 | |
| (701) 665-2300 |
| Full Name | Lake Region Human Service Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Highway 2 W, Devils Lake, North Dakota |
| Authorized Official Name and Position | Donna Aukland (ASSISTANT CFO - DHS) |
| Authorized Official Contact | 7013284924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Region Human Service Center 200 Hwy 2 W Devils Lake ND 58301-3532 Ph: (701) 665-2200 | Lake Region Human Service Center 200 Highway 2 W Devils Lake ND 58301-3532 Ph: (701) 665-2200 |
| NPI Number | 1669411930 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Medicare PECOS PAC ID | 8426941436 |
|---|---|
| Medicare Enrollment ID | O20040204000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669411930 | NPI | - | NPPES |
| CG8826 | Other | ND | RAILROAD MEDICARE ID |
| 159001 | Other | ND | BCBS GROUP ID |
| 054518 | Medicaid | ND |
| Provider Name | Madeline L Free |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003914730 PECOS PAC ID: 7810893070 Enrollment ID: I20031209000508 |
| Provider Name | Laura B Schield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124064431 PECOS PAC ID: 7618966326 Enrollment ID: I20040508000065 |
| Provider Name | Michael P Capan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689728818 PECOS PAC ID: 2163495615 Enrollment ID: I20040813000833 |
| Provider Name | Laura A Kroetsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740382456 PECOS PAC ID: 9234151572 Enrollment ID: I20051229000552 |
| Provider Name | Heather D Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720187016 PECOS PAC ID: 2466459854 Enrollment ID: I20061027000024 |
| Provider Name | Jerrica L Sauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942390315 PECOS PAC ID: 2668575937 Enrollment ID: I20070307000588 |
| Provider Name | Maria De Robles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145309 PECOS PAC ID: 1557447760 Enrollment ID: I20080328000323 |
| Provider Name | Joni M Heine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598708273 PECOS PAC ID: 0648308148 Enrollment ID: I20100504000222 |
| Provider Name | David P Kuna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730120882 PECOS PAC ID: 0547454100 Enrollment ID: I20101028000395 |
| Provider Name | Lori J Esprit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548572688 PECOS PAC ID: 4587844592 Enrollment ID: I20110208001024 |
| Provider Name | Amy M Hultgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578504643 PECOS PAC ID: 9739362286 Enrollment ID: I20110322000424 |
| Provider Name | Marci L Kligmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780906768 PECOS PAC ID: 4981854429 Enrollment ID: I20121018000717 |
| Provider Name | Jamie J Boe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679875991 PECOS PAC ID: 7113178468 Enrollment ID: I20121113000754 |
| Provider Name | Stacey L Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497812341 PECOS PAC ID: 6204076128 Enrollment ID: I20130717000152 |
| Provider Name | Michael A Shock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659404556 PECOS PAC ID: 0840414942 Enrollment ID: I20140611000847 |
| Provider Name | Lisa A Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326421090 PECOS PAC ID: 7315251782 Enrollment ID: I20150729007774 |
| Provider Name | Stephanie A Jallen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245541895 PECOS PAC ID: 7810126562 Enrollment ID: I20150903002560 |
| Provider Name | Susan Elaine Cassatt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831379767 PECOS PAC ID: 3476630252 Enrollment ID: I20151113002318 |
| Provider Name | Noelle K Riehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600251 PECOS PAC ID: 5092012021 Enrollment ID: I20160318000611 |
| Provider Name | Diane M Soli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437559127 PECOS PAC ID: 2163796301 Enrollment ID: I20170926004048 |
| Provider Name | Nicole L Erasmus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881986180 PECOS PAC ID: 6002172723 Enrollment ID: I20171114001673 |
| Provider Name | Kimberly A White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689615619 PECOS PAC ID: 0547394470 Enrollment ID: I20180108002441 |
| Provider Name | Rose J Julius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316101074 PECOS PAC ID: 8123212545 Enrollment ID: I20180131002388 |
| Provider Name | Vera A Beadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811078298 PECOS PAC ID: 1254659543 Enrollment ID: I20190213001180 |
| Provider Name | Katrina M Dedona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770952111 PECOS PAC ID: 1658613971 Enrollment ID: I20190506002831 |
| Provider Name | Jennifer L Lusinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003314196 PECOS PAC ID: 1951714096 Enrollment ID: I20210108000713 |
| Provider Name | Asha Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306295043 PECOS PAC ID: 9133534704 Enrollment ID: I20210211001613 |
| Provider Name | Allison R Samuelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700410305 PECOS PAC ID: 7416340781 Enrollment ID: I20220209000774 |
| Provider Name | James M Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235657073 PECOS PAC ID: 2769890839 Enrollment ID: I20220816002970 |
| Provider Name | Kejon L Cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619309291 PECOS PAC ID: 7416327929 Enrollment ID: I20221227002375 |
| Provider Name | Amanda M Havelange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124677406 PECOS PAC ID: 9436515178 Enrollment ID: I20230522003152 |
| Provider Name | Sadiah N Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871087767 PECOS PAC ID: 5597165613 Enrollment ID: I20231102002110 |
| Provider Name | Christina Hemmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508204421 PECOS PAC ID: 8224471883 Enrollment ID: I20240210000421 |
| Provider Name | Melony Ray Sanford |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1811408974 PECOS PAC ID: 5991148470 Enrollment ID: I20240212003728 |
| Provider Name | James E Lang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023683323 PECOS PAC ID: 3870937030 Enrollment ID: I20240215004254 |
| Provider Name | John J Butgereit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629492715 PECOS PAC ID: 2961847603 Enrollment ID: I20240304002307 |
| Provider Name | Kelly L Mattis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841429719 PECOS PAC ID: 8628414216 Enrollment ID: I20240305004155 |
| Provider Name | Tarah E Cavett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922253954 PECOS PAC ID: 3577909076 Enrollment ID: I20240306003838 |
| Provider Name | Julie K Baumgarn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801830054 PECOS PAC ID: 9931545761 Enrollment ID: I20240314002396 |
| Provider Name | Amy M Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407187982 PECOS PAC ID: 6507204641 Enrollment ID: I20240409001025 |
Volk Human Services, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 501 3rd St Ne Ste 1, Devils Lake, ND 58301 Phone: 701-662-1911 | |
Devils Lake Psychological Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 218 4th St Nw Ste 1, Devils Lake, ND 58301 Phone: 701-662-8255 Fax: 701-662-1739 | |
Aspiring Hope Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Highway 2 W Ste 10, Devils Lake, ND 58301 Phone: 701-351-3530 | |
Evolution Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 4th St Ne Ste 1, Devils Lake, ND 58301 Phone: 701-665-3263 | |
Life Management Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 12th Ave Ne, Devils Lake, ND 58301 Phone: 701-665-5433 | |
Lisa Shuster Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 13th Ave Ne, #307, Devils Lake, ND 58301 Phone: 701-330-9998 | |
Hope Unlimited Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 12th Ave Ne, Suite D, Devils Lake, ND 58301 Phone: 701-351-1934 Fax: 701-665-2668 |