Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LOST LAKE HEALING
NPI 1104732155
Clinic/Center - Mental Health (Including Community Mental Health Center) in Remus, MI

Q: What is Lost Lake Healing's NPI number?

The NPI number for Lost Lake Healing is 1104732155. It was assigned to this organization in the NPPES registry on August 20, 2026.

Q: What is Lost Lake Healing'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.

Q: When was this NPI record last updated?

The NPPES record for Lost Lake Healing was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 20, 2026

13419 SWISTIER DR, REMUS, MI 49340(231) 408-7866 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Lost Lake Healing NPPES

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

LOST LAKE HEALING (NPI 1104732155) is a healthcare organization registered as a mental health (including community mental health center) in Remus, Michigan and active in the NPI registry since August 2026. The organization lists Mckenna Jo Nivison, Owner/outpatient Therapist, as its authorized official.

NPPES Registry Identity

NPI1104732155

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameLOST LAKE HEALING

Location Address13419 SWISTIER DRRemus, MI 49340-9381

Mailing Address13419 Swistier DrRemus, MI 49340-9381 · (231) 408-7866

Phone(231) 408-7866

Organization SubpartNo

Authorized OfficialMckenna Jo NivisonOwner/outpatient Therapist · (231) 408-7866

Enumeration DateAugust 20, 2026

NPPES CertifiedAugust 20, 2026

✔ NPI 1104732155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

13419 SWISTIER DR, Remus, MI 49340

Open in Google Maps ↗

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 Lost Lake Healing's NPI number?

The NPI number for Lost Lake Healing is 1104732155. It was assigned to this organization in the NPPES registry on August 20, 2026.

Where is Lost Lake Healing located?

Lost Lake Healing is located at 13419 Swistier Dr, Remus, MI 49340. The listed phone number is (231) 408-7866.

What is Lost Lake Healing'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.

When was this NPI record last updated?

The NPPES record for Lost Lake Healing was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.