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LION YOUTH & COMMUNITY SERVICES LLC
NPI 1902302722
Clinic/Center - Mental Health (Including Community Mental Health Center) in Northfield, MN

Active since April 02, 2018
807 DIVISION ST S, NORTHFIELD, MN 55057(320) 420-1272(320) 240-6814 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lion Youth & Community Services Llc NPPES

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

LION YOUTH & COMMUNITY SERVICES LLC (NPI 1902302722) is a healthcare organization registered as a mental health (including community mental health center) in Northfield, Minnesota and active in the NPI registry since April 2018. The organization lists Kenneth Longfellow Hanna, Owner, as its authorized official.

NPPES Registry Identity

NPI1902302722
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLION YOUTH & COMMUNITY SERVICES LLC
Location Address807 DIVISION ST SNorthfield, MN 55057-2430
Mailing Address600 25th Ave S Ste 209Saint Cloud, MN 56301-4866 · (320) 420-1272 · Fax (320) 240-6814
Phone(320) 420-1272
Fax(320) 240-6814
Organization SubpartNo
Authorized OfficialKenneth Longfellow HannaOwner · (320) 420-1272
Enumeration DateApril 2, 2018
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1902302722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MN · 2571659
807 DIVISION ST S, Northfield, MN 55057
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lion Youth & Community Services 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 Lion Youth & Community Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Hanna, LICSW
Clinical Social Worker
NPI 1295812105
807 DIVISION ST S
Northfield, MN 55057
(320) 420-1272
✔ PECOSSame address

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 Lion Youth & Community Services LLC's NPI number?

The NPI number for Lion Youth & Community Services LLC is 1902302722. It was assigned to this organization in the NPPES registry on April 2, 2018.

Where is Lion Youth & Community Services LLC located?

Lion Youth & Community Services LLC is located at 807 Division St S, Northfield, MN 55057. The listed phone number is (320) 420-1272.

What is Lion Youth & Community Services LLC'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 Lion Youth & Community Services LLC enrolled in Medicare?

Yes. Lion Youth & Community Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lion Youth & Community Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Lion Youth & Community Services 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 Lion Youth & Community Services LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.