OrganizationActive
Lakeside Mental Wellness Inc
NPI 1538977756 · Clinic/Center · Minneapolis, MN
Lakeside Mental Wellness Inc is a Clinic/Center organization in Minneapolis, MN (NPI 1538977756).
Provider details
- NPI number
- 1538977756
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Adan Hirad, Owner(612) 290-2040
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
2649 Park Ave Ste 212
Minneapolis, MN 55407-1006
Phone: (612) 290-2040
Street-level locationGet directions
Mailing address
2649 Park Ave Ste 212
Minneapolis, MN 55407-1006
Registry dates
- Enumerated
- 2024-12-19
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Frequently asked questions
- What is Lakeside Mental Wellness Inc's NPI number?
- Lakeside Mental Wellness Inc's National Provider Identifier (NPI) is 1538977756, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Mental Wellness Inc?
- Lakeside Mental Wellness Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Mental Wellness Inc located?
- Lakeside Mental Wellness Inc's practice location on file with NPPES is 2649 Park Ave Ste 212, Minneapolis, MN 55407-1006.
- What is Lakeside Mental Wellness Inc's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Mental Wellness Inc is (612) 290-2040.
- Who is the authorized official for Lakeside Mental Wellness Inc?
- The authorized official listed on Lakeside Mental Wellness Inc's NPPES record is Adan Hirad, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Mental Wellness Inc's NPI active?
- Yes — Lakeside Mental Wellness Inc's NPI (1538977756) is active in the NPPES registry as of the last update on 2024-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.