LAKE BEHAVIORAL HEALTH
NPI 1366037764
Clinic/Center - Mental Health (Including Community Mental Health Center) in Osage Beach, MO
About Lake Behavioral Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE BEHAVIORAL HEALTH (NPI 1366037764) is a healthcare organization registered as a mental health (including community mental health center) in Osage Beach, Missouri and active in the NPI registry since March 2021. The organization lists Nicole Parker, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Lake Behavioral Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Lake Behavioral Health's NPI number?
The NPI number for Lake Behavioral Health is 1366037764. It was assigned to this organization in the NPPES registry on March 8, 2021.
Where is Lake Behavioral Health located?
Lake Behavioral Health is located at 5529B Osage Beach Pkwy, Osage Beach, MO 65065. The listed phone number is (573) 693-9090.
What is Lake Behavioral Health'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.
Is Lake Behavioral Health enrolled in Medicare?
Yes. Lake Behavioral Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Behavioral Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Lake Behavioral Health, in Clinical Psychologist, Mental Health Counselor and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Behavioral Health accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Lake Behavioral Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lake Behavioral Health was last updated on April 21, 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.
# Lake Behavioral Health · NPI 1366037764
Mental Health (Including Community Mental Health Center) organization in Osage Beach, Missouri. Organization record, active in the CMS NPPES registry since March 8, 2021.
## Identity
- **NPI:** 1366037764 (Entity type: Organization)
- **Enumerated:** March 8, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Nicole Parker, PRESIDENT
## Practice location
- **Address:** 5529B OSAGE BEACH PKWY, Osage Beach, MO 65065-3023
- **Phone:** (573) 693-9090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (2), Mental Health Counselor (1), Nurse Practitioner (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2021
- **Other identifiers:** Medicaid 490041266 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1366037764) · Data from the CMS NPPES public registry.