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Lakeside Psychological Services

Counseling Psychologist in Grand Rapids, MN · enumerated 2006 · authorized official Coreen Lauseng, Billing Agent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316043458

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Psychological Services
Practice address 2618 Emerald Dr, Grand Rapids, MN, 55744
Fax (218) 327-9013
Enumeration date Sep 16, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers Primary

Authorized official

Name Coreen Lauseng
Title Billing Agent

Other identifiers

Identifier Type State Issuer
8G811GR Other MN BLUE CROSS BLUE SHIELD MN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lakeside Psychological Services located?
The practice location on file with NPPES is in Grand Rapids, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.