LAKESIDE MENTAL HEALTH PLLC
NPI 1801551981
Nurse Practitioner - Psychiatric/Mental Health in Conroe, TX
About Lakeside Mental Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE MENTAL HEALTH PLLC (NPI 1801551981) is a healthcare organization registered as a psychiatric/mental health in Conroe, Texas and active in the NPI registry since November 2021. The organization lists Michael Graves, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Mental Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Mental Health PLLC, 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 Mental Health PLLC's NPI number?
The NPI number for Lakeside Mental Health PLLC is 1801551981. It was assigned to this organization in the NPPES registry on November 3, 2021.
Where is Lakeside Mental Health PLLC located?
Lakeside Mental Health PLLC is located at 96 Beach Walk Blvd Ste 208, Conroe, TX 77304. The listed phone number is (281) 393-4692.
What is Lakeside Mental Health PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lakeside Mental Health PLLC enrolled in Medicare?
Yes. Lakeside Mental Health PLLC is registered in the Medicare PECOS enrollment system.
When is Lakeside Mental Health PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lakeside Mental Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lakeside Mental Health PLLC. 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 Mental Health PLLC was last updated on November 3, 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.
# Lakeside Mental Health Pllc · NPI 1801551981
Psychiatric/Mental Health organization in Conroe, Texas. Organization record, active in the CMS NPPES registry since November 3, 2021.
## Identity
- **NPI:** 1801551981 (Entity type: Organization)
- **Enumerated:** November 3, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Michael Graves, OWNER
## Practice location
- **Address:** 96 BEACH WALK BLVD STE 208, Conroe, TX 77304-4549
- **Phone:** (281) 393-4692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1801551981) · Data from the CMS NPPES public registry.