LAKESIDE BEHAVIORAL HEALTH, LLC
NPI 1093269003
Psychiatry & Neurology - Psychiatry in Saint Louis, MO
About Lakeside Behavioral Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE BEHAVIORAL HEALTH, LLC (NPI 1093269003) is a healthcare organization registered as a psychiatry in Saint Louis, Missouri and active in the NPI registry since August 2016. The organization maintains 2 additional practice locations and lists Ashok Yanamadala, Psychiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Lakeside Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Chicago, IL 60612
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lakeside Behavioral Health, LLC's NPI number?
The NPI number for Lakeside Behavioral Health, LLC is 1093269003. It was assigned to this organization in the NPPES registry on August 8, 2016.
Where is Lakeside Behavioral Health, LLC located?
Lakeside Behavioral Health, LLC is located at 4121 Union Rd Ste 201, Saint Louis, MO 63129. The listed phone number is (314) 930-3520.
What is Lakeside Behavioral Health, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Lakeside Behavioral Health, LLC enrolled in Medicare?
Yes. Lakeside Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Behavioral Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Lakeside Behavioral Health, LLC, in Mental Health Counselor, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lakeside Behavioral Health, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Lakeside Behavioral Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lakeside Behavioral Health, LLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Lakeside Behavioral Health, Llc · NPI 1093269003
Psychiatry organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since August 8, 2016.
## Identity
- **NPI:** 1093269003 (Entity type: Organization)
- **Enumerated:** August 8, 2016
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Ashok Yanamadala, PSYCHIATRIST
## Practice location
- **Address:** 4121 UNION RD STE 201, Saint Louis, MO 63129-1070
- **Phone:** (314) 930-3520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (2), Mental Health Counselor (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2026
- **Other identifiers:** Medicaid 1093269003 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1093269003) · Data from the CMS NPPES public registry.