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LACKA BEHAVIORAL HEALTH LLC
NPI 1225610082
Nurse Practitioner - Psychiatric/Mental Health in Point Pleasant Boro, NJ

Active since April 22, 2021
2911 LAKEWOOD RD, POINT PLEASANT BORO, NJ 08742(609) 577-9741(609) 372-2483 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lacka Behavioral Health Llc NPPES

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

LACKA BEHAVIORAL HEALTH LLC (NPI 1225610082) is a healthcare organization registered as a psychiatric/mental health in Point Pleasant Boro, New Jersey and active in the NPI registry since April 2021. The organization lists Loretta N Oguonu, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1225610082
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLACKA BEHAVIORAL HEALTH LLC
Location Address2911 LAKEWOOD RDPoint Pleasant Boro, NJ 08742-2871
Mailing AddressPo Box 422Bordentown, NJ 08505-0422 · (609) 577-9741 · Fax (609) 372-2483
Phone(609) 577-9741
Fax(609) 372-2483
Organization SubpartNo
Authorized OfficialLoretta N OguonuOwner Of Entity · (609) 577-9741
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1225610082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2911 LAKEWOOD RD, Point Pleasant Boro, NJ 08742
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacka Behavioral Health 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 Lacka Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Loretta Oguonu
Nurse Practitioner
NPI 1528497641
819 ALEXANDER RD
Princeton, NJ 08540
(609) 452-2088
✔ PECOS✔ Accepts Medicare33 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 Lacka Behavioral Health LLC's NPI number?

The NPI number for Lacka Behavioral Health LLC is 1225610082. It was assigned to this organization in the NPPES registry on April 22, 2021.

Where is Lacka Behavioral Health LLC located?

Lacka Behavioral Health LLC is located at 2911 Lakewood Rd, Point Pleasant Boro, NJ 08742. The listed phone number is (609) 577-9741.

What is Lacka Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lacka Behavioral Health LLC enrolled in Medicare?

Yes. Lacka Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lacka Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lacka Behavioral Health 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 Lacka Behavioral Health LLC was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.