Lakeland Mental Health Center, Inc.
NPI 1366480287 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fergus Falls, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366480287
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Baker, Ceo(218) 299-6669
- License
- 434755200 (MN)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 801338-1-MHC (MN)
Ambulatory Health Care Facilities
Agencies
Agencies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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 (4)
- 702 34th Ave EAlexandria, MN 56308-2599Phone: (320) 762-2400Fax: (320) 762-8047
- 928 8th St SeDetroit Lakes, MN 56501-2839Phone: (218) 847-1676Fax: (218) 847-1678
- 14 6th Ave NwGlenwood, MN 56334-1160Phone: (320) 634-3446Fax: (320) 634-0384
- 1010 32nd Ave SMoorhead, MN 56560-5001Phone: (218) 233-7524Fax: (218) 233-8627
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.