LAKE REGION THERAPEUTIC SERVICES INC
NPI 1114484847
Clinic/Center - Adult Mental Health in Hopkins, MN

Q: What is Lake Region Therapeutic Services Inc's NPI number?

The NPI number for Lake Region Therapeutic Services Inc is 1114484847. It was assigned to this organization in the NPPES registry on February 28, 2019.

Q: What is Lake Region Therapeutic Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since February 28, 2019

1007 MAINSTREET, HOPKINS, MN 55343(952) 456-6352(952) 303-3104 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 8, 2020, Feb 28, 2019 (2 updates tracked since 2019).

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About Lake Region Therapeutic Services Inc NPPES

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

LAKE REGION THERAPEUTIC SERVICES INC (NPI 1114484847) is a healthcare organization registered as an adult mental health in Hopkins, Minnesota and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Minneapolis and lists Abdirazaq Ibrahim, Owner, as its authorized official.

NPPES Registry Identity

NPI1114484847

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameLAKE REGION THERAPEUTIC SERVICES INC

Location Address1007 MAINSTREETHopkins, MN 55343-7517

Mailing Address3055 Old Highway 8 Ste 347Saint Anthony, MN 55418-2500 · (952) 657-0884

Phone(952) 456-6352

Fax(952) 303-3104

Organization SubpartNo

Authorized OfficialAbdirazaq IbrahimOwner · (602) 323-4873

Enumeration DateFebruary 28, 2019

Last NPPES UpdateSeptember 13, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2023

✔ NPI 1114484847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

1007 MAINSTREET, Hopkins, MN 55343

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Secondary Practice Location 1

Location 13200 Bloomington Ave Apt 3Minneapolis, MN 55407-1773 · Phone (612) 987-2990

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 Region Therapeutic Services Inc's NPI number?

The NPI number for Lake Region Therapeutic Services Inc is 1114484847. It was assigned to this organization in the NPPES registry on February 28, 2019.

Where is Lake Region Therapeutic Services Inc located?

Lake Region Therapeutic Services Inc is located at 1007 Mainstreet, Hopkins, MN 55343. The listed phone number is (952) 456-6352.

What is Lake Region Therapeutic Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Lake Region Therapeutic Services Inc was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.