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LAKEMARY CENTER, INC.
NPI 1043009046
Clinic/Center - Mental Health (Including Community Mental Health Center) in Paola, KS

Active since May 05, 2025CLIA 17D2124141 · Waiver
100 LAKEMARY DR, PAOLA, KS 66071(913) 557-4000(913) 557-4910 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, May 5, 2025 (2 updates tracked since 2025).

About Lakemary Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEMARY CENTER, INC. (NPI 1043009046) is a healthcare organization registered as a mental health (including community mental health center) in Paola, Kansas and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Michelle Erickson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043009046
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLAKEMARY CENTER, INC.
Location Address100 LAKEMARY DRPaola, KS 66071-1855
Mailing Address100 Lakemary DrPaola, KS 66071-1855 · (913) 557-4000 · Fax (913) 557-4910
Phone(913) 557-4000
Fax(913) 557-4910
Organization SubpartNo
Authorized OfficialMichelle EricksonCfo · (913) 533-7280
Enumeration DateMay 5, 2025
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1043009046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
100 LAKEMARY DR, Paola, KS 66071
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2124141

Lakemary Center Psychiatric Residential Facility · Paola, KS
Active · expires Jan 9, 2027
CLIA Number17D2124141
Laboratory TypePsych Resident Facility
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorGeorge S. Thompson
Laboratory Phone(913) 557-4000
Laboratory LocationLakemary Center Psychiatric Residential Facility100 Lakemary Drive, Paola, KS 66071
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGEN MALE ARNP
Nurse Practitioner (Family)
100 LAKEMARY DR
PAOLA, KS 66071
Miami County (913) 557-4000
LAKEMARY CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
100 LAKEMARY DR
PAOLA, KS 66071
Miami County (913) 557-4000
CHRISTOPHER MICHAEL DELAP LMLP, BCBA, AS, LBA
Psychologist (Clinical)
100 LAKEMARY DR
PAOLA, KS 66071
Miami County (913) 535-4722
JEAN MARIE HOYT LSCSW
Social Worker (Clinical)
100 LAKEMARY DR
PAOLA, KS 66071
Miami County (913) 557-4000
MRS. RENEE RUTH AZZOUZ MSN
Nurse Practitioner (Psychiatric/Mental Health)
100 LAKEMARY DR
PAOLA, KS 66071
Miami County (913) 557-4000
LAKEMARY CENTER INC
Psychiatric Residential Treatment Facility
100 LAKEMARY DR
PAOLA, KS 66071
Miami County (913) 557-4000
LAKEMARY CENTER, INC.
Case Management
100 LAKEMARY DR
PAOLA, KS 66071
Miami County (913) 557-4000
LAKEMARY CENTER, INC.
Dietitian, Registered
100 LAKEMARY DR
PAOLA, KS 66071
Miami County (913) 557-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakemary Center, Inc.'s NPI number?

The NPI number for Lakemary Center, Inc. is 1043009046. It was assigned to this organization in the NPPES registry on May 5, 2025.

Where is Lakemary Center, Inc. located?

Lakemary Center, Inc. is located at 100 Lakemary Dr, Paola, KS 66071. The listed phone number is (913) 557-4000.

What is Lakemary Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Lakemary Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2124141) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakemary Center, Inc. was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.