Lakeshore Family Therapy LLC
NPI 1699179994 · Marriage & Family Therapist · Wayzata, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeshore Family Therapy LLC is a Marriage & Family Therapist organization in Wayzata, MN (NPI 1699179994).
Provider details
- NPI number
- 1699179994
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Rose, Owner(651) 231-7471
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
11 yrs 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
Mailing address
Registry dates
- Enumerated
- 2014-10-15
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Lakeshore Family Therapy LLC's NPI number?
- Lakeshore Family Therapy LLC's National Provider Identifier (NPI) is 1699179994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Family Therapy LLC?
- Lakeshore Family Therapy LLC is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Lakeshore Family Therapy LLC located?
- Lakeshore Family Therapy LLC's practice location on file with NPPES is 3701 Shoreline Dr Ste 102a, Wayzata, MN 55391-4000.
- What is Lakeshore Family Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Family Therapy LLC is (651) 231-7471.
- Does Lakeshore Family Therapy LLC accept Medicare?
- Lakeshore Family Therapy 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 Lakeshore Family Therapy LLC?
- The authorized official listed on Lakeshore Family Therapy LLC's NPPES record is Kelly Rose, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Family Therapy LLC's NPI active?
- Yes — Lakeshore Family Therapy LLC's NPI (1699179994) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.