Lakeside Family Wellness LLC
NPI 1205714409 · Marriage & Family Therapist · Osage, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Family Wellness LLC is a Marriage & Family Therapist organization in Osage, MN (NPI 1205714409).
Provider details
- NPI number
- 1205714409
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gretchen Slavicek, Owner(218) 396-9215
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Lakeside Family Wellness LLC's NPI number?
- Lakeside Family Wellness LLC's National Provider Identifier (NPI) is 1205714409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Family Wellness LLC?
- Lakeside Family Wellness LLC is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Lakeside Family Wellness LLC located?
- Lakeside Family Wellness LLC's practice location on file with NPPES is 44314 Idas Rd, Osage, MN 56570-9363.
- What is Lakeside Family Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Family Wellness LLC is (218) 396-9215.
- Does Lakeside Family Wellness LLC accept Medicare?
- Lakeside Family Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Family Wellness LLC?
- The authorized official listed on Lakeside Family Wellness LLC's NPPES record is Gretchen Slavicek, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Family Wellness LLC's NPI active?
- Yes — Lakeside Family Wellness LLC's NPI (1205714409) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.