LAKESIDE FAMILY WELLNESS LLC
NPI 1205714409
Marriage & Family Therapist in Osage, MN
About Lakeside Family Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE FAMILY WELLNESS LLC (NPI 1205714409) is a healthcare organization registered as a marriage & family therapist in Osage, Minnesota and active in the NPI registry since August 2025. The organization lists Gretchen Slavicek, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Family Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Family Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Family Wellness LLC's NPI number?
The NPI number for Lakeside Family Wellness LLC is 1205714409. It was assigned to this organization in the NPPES registry on August 25, 2025.
Where is Lakeside Family Wellness LLC located?
Lakeside Family Wellness LLC is located at 44314 Idas Rd, Osage, MN 56570. The listed phone number is (218) 396-9215.
What is Lakeside Family Wellness LLC's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Lakeside Family Wellness LLC enrolled in Medicare?
Yes. Lakeside Family Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Family Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Lakeside Family Wellness LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lakeside Family Wellness LLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lakeside Family Wellness Llc · NPI 1205714409
Marriage & Family Therapist organization in Osage, Minnesota. Organization record, active in the CMS NPPES registry since August 25, 2025.
## Identity
- **NPI:** 1205714409 (Entity type: Organization)
- **Enumerated:** August 25, 2025
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Organization subpart:** No
- **Authorized official:** Gretchen Slavicek, OWNER
## Practice location
- **Address:** 44314 IDAS RD, Osage, MN 56570-9363
- **Phone:** (218) 396-9215
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205714409) · Data from the CMS NPPES public registry.