LAKESIDE MENTAL HEALTH NPI 1457011371

NPI Information

  • NPI: 1457011371
  • Provider Name: LAKESIDE MENTAL HEALTH
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 45 WASHINGTON AVE E
    HUTCHINSON, MN
    ZIP 55350
  • Phone: (320) 640-2980

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NPI Details

LAKESIDE MENTAL HEALTH is a mental health (including community mental health center) clinic center in Hutchinson, MN. LAKESIDE MENTAL HEALTH NPI is 1457011371. The provider is registered as an organization entity type.

The provider's business location address is:

45 WASHINGTON AVE E
HUTCHINSON, MN
ZIP 55350-574
Phone: (320) 640-2980
Fax: (320) 640-3029

The provider's authorized official is Kati Klitzke .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (320) 640-2980.

The enumeration date for this NPI number is 12/20/2021 and was last updated on 2/18/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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
11750746715OTHERNPI

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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