1. Home
  2. Directory
  3. Minnesota
  4. Park Rapids
  5. Community Behavioral Health
  6. NPI Profile

LAKE COUNTRY ASSOCIATES, INC.
NPI 1104151588
Community/Behavioral Health in Park Rapids, MN

Active since October 02, 2009
515 BRIDGE ST, PARK RAPIDS, MN 56470(218) 366-9229 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lake Country Associates, Inc. NPPES

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

LAKE COUNTRY ASSOCIATES, INC. (NPI 1104151588) is a healthcare organization registered as a community/behavioral health in Park Rapids, Minnesota and active in the NPI registry since October 2009. The organization lists Jean Kirchner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104151588
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLAKE COUNTRY ASSOCIATES, INC.
Location Address515 BRIDGE STPark Rapids, MN 56470-1210
Mailing Address515 Bridge StPark Rapids, MN 56470-1210 · (218) 366-9229
Phone(218) 366-9229
Organization SubpartNo
Authorized OfficialJean KirchnerCeo · (218) 366-9229
Enumeration DateOctober 2, 2009
Last NPPES UpdateFebruary 28, 2017
✔ NPI 1104151588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
515 BRIDGE ST, Park Rapids, MN 56470
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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)

Lake Country Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Lake Country Associates, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker10
Marriage and Family Therapist2
Mental Health Counselor2

Clinicians, nearest first (14)

Elissa Anderson, LICSW
Clinical Social Worker
NPI 1821219205
515 BRIDGE ST
Park Rapids, MN 56470
(218) 366-9229
✔ PECOS✔ Accepts MedicareSame address
Da'nel Chase, MS, LPCC,RPT
Mental Health Counselor
NPI 1043653090
515 BRIDGE ST
Park Rapids, MN 56470
(218) 366-9229
✔ PECOS✔ Accepts MedicareSame address
Laura Kempnich, MSW, LGSW
Clinical Social Worker
NPI 1487142006
515 BRIDGE ST
Park Rapids, MN 56470
(218) 366-9229
✔ PECOS✔ Accepts MedicareSame address
Laura Kirlin, LICSW
Clinical Social Worker
NPI 1972764454
515 BRIDGE ST. EAST
Park Rapids, MN 56470
(218) 366-9229
✔ PECOS✔ Accepts MedicareSame address
Deborah Farrell, LICSW
Clinical Social Worker
NPI 1912076712
515 BRIDGE ST
Park Rapids, MN 56470
(218) 366-9229
✔ PECOS✔ Accepts MedicareSame address
Hyacinth Mosse, LSW
Clinical Social Worker
NPI 1851778104
515 BRIDGE ST
Park Rapids, MN 56470
(218) 366-9229
✔ PECOS✔ Accepts MedicareSame address
Robin Wicker, MSW, LICSW, RPT-S
Clinical Social Worker
NPI 1669665584
1027 WASHINGTON AVE
Detroit Lakes, MN 56501
(218) 786-8364
✔ PECOS✔ Accepts Medicare38 mi
Jessica Croatt Niemi, LICSW
Clinical Social Worker
NPI 1265653653
1426 BEMIDJI AVE N STE 1
Bemidji, MN 56601
(218) 444-2233
✔ PECOS✔ Accepts Medicare39 mi
Vanessa Wananu, MSW, LICSW
Clinical Social Worker
NPI 1184997710
1426 BEMIDJI AVE N STE 1
Bemidji, MN 56601
(218) 444-2233
✔ PECOS39 mi
Laura Hansen, MSW, LICSW
Clinical Social Worker
NPI 1265565642
1526 30TH ST NW
Bemidji, MN 56601
(218) 751-0887
✔ PECOS✔ Accepts Medicare40 mi
Karen Hill, MS
Mental Health Counselor
NPI 1235489089
615 ANNE ST NW STE B
Bemidji, MN 56601
(218) 444-2233
✔ PECOS✔ Accepts Medicare41 mi
Sally Christensen
Marriage and Family Therapist
NPI 1598135584
519 ANNE ST NW STE B
Bemidji, MN 56601
(218) 444-2845
✔ PECOS✔ Accepts Medicare41 mi
Jaunita Marth, LMFT
Marriage and Family Therapist
NPI 1912354796
1601 BELSLY BLVD #201
Moorhead, MN 56560
(218) 784-8454
✔ PECOS✔ Accepts Medicare81 mi
Drew Jaeger, MSW, LGSW
Clinical Social Worker
NPI 1992353387
1726 S WASHINGTON ST STE 60
Grand Forks, ND 58201
(701) 795-8550
✔ PECOS✔ Accepts Medicare115 mi

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 Lake Country Associates, Inc.'s NPI number?

The NPI number for Lake Country Associates, Inc. is 1104151588. It was assigned to this organization in the NPPES registry on October 2, 2009.

Where is Lake Country Associates, Inc. located?

Lake Country Associates, Inc. is located at 515 Bridge St, Park Rapids, MN 56470. The listed phone number is (218) 366-9229.

What is Lake Country Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Lake Country Associates, Inc. enrolled in Medicare?

Yes. Lake Country Associates, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Country Associates, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Lake Country Associates, Inc.. 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. The largest specialties are Clinical Social Worker (10), Marriage and Family Therapist (2) and Mental Health Counselor (2). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Country Associates, Inc. accept?

Health plans from HealthPartners and Sanford Health Plan list Lake Country Associates, Inc. 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 Lake Country Associates, Inc. was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.