LAKESIDE PSYCHOLOGICAL SERVICES
NPI 1316043458
Psychologist - Counseling in Grand Rapids, MN

Active since September 16, 2006
2618 EMERALD DR, GRAND RAPIDS, MN 55744(218) 327-9013(218) 327-9013 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Psychological Services NPPES

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

LAKESIDE PSYCHOLOGICAL SERVICES (NPI 1316043458) is a healthcare organization registered as a counseling in Grand Rapids, Minnesota and active in the NPI registry since September 2006. The organization lists Coreen Ellen Lauseng, Billing Agent, as its authorized official.

NPPES Registry Identity

NPI1316043458
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameLAKESIDE PSYCHOLOGICAL SERVICES
Location Address2618 EMERALD DRGrand Rapids, MN 55744-5060
Mailing Address2618 Emerald DrGrand Rapids, MN 55744-5060 · (218) 327-9013 · Fax (218) 327-9013
Fax(218) 327-9013
Organization SubpartNo
Authorized OfficialCoreen Ellen LausengBilling Agent · (952) 935-1961
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1316043458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
2618 EMERALD DR, Grand Rapids, MN 55744

Other Identifiers 1

Other8G811GRMN · Blue Cross Blue Shield Mn

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Counseling)
2618 EMERALD DR
GRAND RAPIDS, MN 55744
Psychologist (Counseling)
2618 EMERALD DR
GRAND RAPIDS, MN 55744

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 Psychological Services's NPI number?

The NPI number for Lakeside Psychological Services is 1316043458. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Lakeside Psychological Services located?

Lakeside Psychological Services is located at 2618 Emerald Dr, Grand Rapids, MN 55744. The listed phone number is (218) 327-9013.

What is Lakeside Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

When was this NPI record last updated?

The NPPES record for Lakeside Psychological Services was last updated on August 22, 2020. 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.