Lake Region Therapeutic Services Inc
NPI 1114484847 · Adult Mental Health Clinic/Center · Hopkins, MN
Lake Region Therapeutic Services Inc is a Adult Mental Health Clinic/Center organization in Hopkins, MN (NPI 1114484847).
Provider details
- NPI number
- 1114484847
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Abdirazaq Ibrahim, Owner(602) 323-4873
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3200 Bloomington Ave Apt 3Minneapolis, MN 55407-1773Phone: (612) 987-2990
Registry dates
- Enumerated
- 2019-02-28
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Lake Region Therapeutic Services Inc's NPI number?
- Lake Region Therapeutic Services Inc's National Provider Identifier (NPI) is 1114484847, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Region Therapeutic Services Inc?
- Lake Region Therapeutic Services Inc is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Region Therapeutic Services Inc located?
- Lake Region Therapeutic Services Inc's practice location on file with NPPES is 1007 Mainstreet, Hopkins, MN 55343-7517.
- What is Lake Region Therapeutic Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Region Therapeutic Services Inc is (952) 456-6352.
- Who is the authorized official for Lake Region Therapeutic Services Inc?
- The authorized official listed on Lake Region Therapeutic Services Inc's NPPES record is Abdirazaq Ibrahim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Region Therapeutic Services Inc's NPI active?
- Yes — Lake Region Therapeutic Services Inc's NPI (1114484847) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.