Lakeview Behavioral Health Inc. - Medicare Mental Health Clinic in Grand Rapids, MN

Lakeview Behavioral Health Inc. is a medicare enrolled mental health clinic (Community/behavioral Health) in Grand Rapids, Minnesota. The current practice location for Lakeview Behavioral Health Inc. is 516 S Pokegama Ave, Grand Rapids, Minnesota. For appointments, you can reach them via phone at (218) 327-2001. The mailing address for Lakeview Behavioral Health Inc. is 516 S Pokegama Ave, Grand Rapids, Minnesota and phone number is (218) 327-2001.

Lakeview Behavioral Health Inc. is licensed to practice in Minnesota (license number 805713-1-CDT). The clinic also participates in the medicare program and its NPI number is 1154404325. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (218) 327-2001.

Contact Information

Lakeview Behavioral Health Inc.
516 S Pokegama Ave
Grand Rapids
MN 55744-3800
(218) 327-2001
(218) 327-0456

Map and Direction


Mental Health Clinic Profile

Full NameLakeview Behavioral Health Inc.
SpecialityCommunity/Behavioral Health
Location516 S Pokegama Ave, Grand Rapids, Minnesota
Authorized Official Name and PositionThomas Johnson (CEO)
Authorized Official Contact2183272001
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeview Behavioral Health Inc.
516 S Pokegama Ave
Grand Rapids
MN 55744-3800

Ph: (218) 327-2001
Lakeview Behavioral Health Inc.
516 S Pokegama Ave
Grand Rapids
MN 55744-3800

Ph: (218) 327-2001

NPI Details:

NPI Number1154404325
Provider Enumeration Date10/23/2006
Last Update Date08/20/2021
Certification Date08/20/2021

Medicare PECOS Information:

Medicare PECOS PAC ID9537432307
Medicare Enrollment IDO20170830003216

Medical Identifiers

Medical identifiers for Lakeview Behavioral Health Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154404325NPI-NPPES
371225700MedicaidMN
8974RAOtherMNBLUE CROSS BLUE SHIELD
5042493OtherMNMEDICA
122307OtherMNBEHAVIORAL HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health 805713-1-CDT (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lakeview Behavioral Health Inc. acts as a billing entity for following providers:
Provider NameShawna M Benson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1447351812
PECOS PAC ID: 7517914252
Enrollment ID: I20050405000324
Provider NameStanislav Kruglikov
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316048986
PECOS PAC ID: 2860414281
Enrollment ID: I20051229000332
Provider NameNancy L Moyer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508824889
PECOS PAC ID: 9931113289
Enrollment ID: I20060126000150
Provider NameWendy S Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689873598
PECOS PAC ID: 4385731538
Enrollment ID: I20071105000099
Provider NameLouise M Dewey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407945132
PECOS PAC ID: 6709026149
Enrollment ID: I20130709000345
Provider NameThomas F Johnson
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1609051168
PECOS PAC ID: 1254566557
Enrollment ID: I20131022001141
Provider NameJody A Carlson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407009384
PECOS PAC ID: 5597991331
Enrollment ID: I20131126001145
Provider NameJoannah B Bluntach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902293855
PECOS PAC ID: 5597086694
Enrollment ID: I20150601002627
Provider NameStephanie Rae Harnack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063992535
PECOS PAC ID: 4688918501
Enrollment ID: I20181204002277
Provider NameRhea Del Rosario
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336789916
PECOS PAC ID: 5193153385
Enrollment ID: I20200323001181
Provider NameJohn Franzen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992166383
PECOS PAC ID: 2062840259
Enrollment ID: I20200323001350
Provider NameJared Lee Harnack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093249419
PECOS PAC ID: 4183043516
Enrollment ID: I20201002002140
Provider NameTammy Lynn Word
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548861016
PECOS PAC ID: 5496163701
Enrollment ID: I20210426000704
Provider NameChristine Michelle Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265042923
PECOS PAC ID: 0244659530
Enrollment ID: I20210809002417
Provider NameHeather Stuber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518548858
PECOS PAC ID: 4385040898
Enrollment ID: I20210909000366
Provider NameDiane Elizabeth Tyler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760150213
PECOS PAC ID: 6507262821
Enrollment ID: I20210910001659
Provider NameMegan Gerak
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265038053
PECOS PAC ID: 1850781469
Enrollment ID: I20211214000038
Provider NameLarry Vernon Elj
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376150235
PECOS PAC ID: 9931598570
Enrollment ID: I20211221000999
Provider NameTifanie M Reineke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922751155
PECOS PAC ID: 5193119832
Enrollment ID: I20220223001973
Provider NameDiane Debra Leaders
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366196115
PECOS PAC ID: 9830585892
Enrollment ID: I20220331001441
Provider NameJennie Jon Bata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255506929
PECOS PAC ID: 2961678099
Enrollment ID: I20220831003993
Provider NameSarah Ann Donahue
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366141871
PECOS PAC ID: 3476928698
Enrollment ID: I20230331000341
Provider NameJessica Plaisted
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477332443
PECOS PAC ID: 1658727052
Enrollment ID: I20231020001832
Provider NamePeter Strassburg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548601826
PECOS PAC ID: 8325495849
Enrollment ID: I20231106001225
Provider NameLisa J Bildeaux
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1720699077
PECOS PAC ID: 4486005998
Enrollment ID: I20240109003989
Provider NameKatherine Schmidtbauer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669062337
PECOS PAC ID: 4082066220
Enrollment ID: I20240123003944
Provider NameDeidre' Marie Clark
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1245829548
PECOS PAC ID: 3577969310
Enrollment ID: I20240210000105
Provider NameZachary Thomas Kahmeyer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1770985954
PECOS PAC ID: 8729422829
Enrollment ID: I20240216001504
Provider NameShelia Marie Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386201572
PECOS PAC ID: 7113366766
Enrollment ID: I20240416002975
Provider NameAlan Daniel Haney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518741214
PECOS PAC ID: 4587003504
Enrollment ID: I20240423002753
Provider NameLinda Elaine Anderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1699366799
PECOS PAC ID: 7810339009
Enrollment ID: I20240520001625
Provider NameAngela Dawn Thomas
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1184482929
PECOS PAC ID: 6709228919
Enrollment ID: I20240520002190
Provider NameTravis Jay Hayes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144070095
PECOS PAC ID: 6406298959
Enrollment ID: I20240529002587

Reviews and Comments

Community/Behavioral Health in Grand Rapids, MN

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Itasca Psychiatric Services Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 25 Ne 3rd St, Grand Rapids, MN 55744
Phone: 218-327-2284    Fax: 218-327-3173
J Hill Psychological Services L.l.c
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Medicare: Not Enrolled in Medicare
Practice Location: 201 Nw 4th St Ste 7, Grand Rapids, MN 55744
Phone: 218-999-7552    
Stapleton Psychological Services
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Medicare: Not Enrolled in Medicare
Practice Location: 1749 Se 2nd Ave, Grand Rapids, MN 55744
Phone: 218-326-5694    Fax: 218-326-5313
Stenlund Psychological Services Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 516 S Pokegama Ave, Suite B, Grand Rapids, MN 55744
Phone: 218-327-8937    Fax: 218-327-0348

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.