ST LOUIS COUNTY PHHS DEPT (NPI# 1417258237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417258237 |
| Entity Type | Organization |
| Organization Name | ST LOUIS COUNTY PHHS DEPT |
| Other Organization Name | SLC BEHAVIORAL HEALTH |
| Practice Address |
320 W 2nd St Room 409 Duluth MN 55802-1404 |
| Practice Telephone | 2187262057 |
| Practice Fax Number | 2187332970 |
| Mailing Telephone | 2187262057 |
| Mailing Fax Number | 2187332970 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | MR. STEVEN H MOELLER (ACCOUNTING SUPERVISOR) |
| Authorized Official Telephone | 2187262057 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST LOUIS COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| SLC Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407083421 | St Louis County Phhs Dept | Case Management | 320 W 2nd St, Duluth, MN 55802-1404 | 2009-06-17 |
| Street Address |
320 W 2ND ST ROOM 409 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073847190 | Christina Ann Heazlett | Social Worker | 320 W 2nd St, Gsc 5th Floor, Duluth, MN 55802-1404 | 2009-09-22 |
| 1407083421 | St Louis County Phhs Dept | Case Management | 320 W 2nd St, Duluth, MN 55802-1404 | 2009-06-17 |
| 1841448636 | Maryjean Goulet | Psychologist | 320 W 2nd St, Duluth, MN 55802-1404 | 2008-09-04 |
| 1700078805 | Diane Lois Koranda | Social Worker | 320 W 2nd St, Rm 510, Duluth, MN 55802-1404 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945745 | Community Circles, LLC | Community/Behavioral Health | 104 W Superior St # 200, Duluth, MN 55802-3000 | 2019-04-08 |
| 1083105894 | Superior Counseling | Community/Behavioral Health | 312 N Central Ave Ste 300, Duluth, MN 55807-2524 | 2018-05-29 |
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1699206516 | Seeking Balance, LLC | Community/Behavioral Health | 205 W 2nd St Ste 301, Duluth, MN 55802-1928 | 2017-03-22 |
| 1023569928 | Living Hope Counseling & Coaching, LLC | Community/Behavioral Health | 230 W Superior St, Suite 400, Duluth, MN 55802-1916 | 2016-10-17 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1124448493 | Sue Hall's Place To Grow LLC | Community/Behavioral Health | 6015 E Superior St, Duluth, MN 55804-2538 | 2014-04-24 |
| 1033536206 | Valencia C Ayers | Community/Behavioral Health | 1470 Boggs Rd Apt 1004, Duluth, GA 30096-5839 | 2014-03-25 |
| 1487918199 | Bridges To Success, Inc. | Community/Behavioral Health | 4402 Haines Rd, Duluth, MN 55811-1528 | 2012-06-27 |
| 1184995243 | Currahee Home Builders, Inc | Community/Behavioral Health | 2763 Meadow Church Rd, Suite 200, Duluth, GA 30097-4989 | 2012-01-21 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on ST LOUIS COUNTY PHHS DEPT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.