LAKEMARY CENTER INC NPI 1275508558

NPI Information

  • NPI: 1275508558
  • Provider Name: LAKEMARY CENTER INC
  • Classification: Psychiatric Residential Treatment Facility - 323P00000X
  • Entity Type: Organization
  • CLIA Number: 17D2124141
  • Address: 100 LAKEMARY DR
    PAOLA, KS
    ZIP 66071
  • Phone: (913) 557-4000

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NPI Details

LAKEMARY CENTER INC is a psychiatric residential treatment facility in Paola, KS. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary LAKEMARY CENTER INC NPI is 1275508558. The provider is registered as an organization entity type.

The provider's business location address is:

100 LAKEMARY DR
PAOLA, KS
ZIP 66071-855
Phone: (913) 557-4000
Fax: (913) 557-4910

The provider's authorized official is Michelle Erickson .
The authorized official title is Cfo and has the following contact phone number (913) 533-7280.

The CLIA number assigned to this NPI record is 17D2124141 - other - psych resident facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 5/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2323P00000XPsychiatric Residential Treatment Facility0003188-008KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100102750GMEDICAIDKANSAS
2100102750IMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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