NORTHWESTERN MENTAL HEALTH CENTER


Address: 603 Bruce St, Crookston, MN 56716
Phone: 2182813940

NORTHWESTERN MENTAL HEALTH CENTER (NPI# 1508835133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508835133
Entity Type Organization
Organization Name NORTHWESTERN MENTAL HEALTH CENTER
Practice Address 603 Bruce St
Crookston
MN 56716
Mailing Address 603 Bruce Street
Po Box 603
Crookston
MN 56716-0603
Practice Telephone 2182813940
Practice Fax Number 2182816261
Mailing Telephone 2182813940
Mailing Fax Number 2182816261
Enumeration Date 2006-03-16
Last Update Date 2018-06-25
Authorized Official Name MS. SHAUNA R REITMEIER (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 2182813940
Authorized Official Credential LGSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
8017741MHC MN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 054855300 05
RAILROAD MEDICARE CC6573 01
MN UCARE MINNESOTA 116586 01
UBH MEDICA 1520165 01
HEALTH PARTNERS 31167 01
MN BCBS BHSI 63592NO 01
PREFERRED ONE 93272 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225337355 Northwestern Mental Health Center Community/Behavioral Health 603 Bruce St, Crookston, MN 56716-2914 2011-03-15

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NORTHWESTERN MENTAL HEALTH CENTER INC 603 Bruce St, Crookston, MN 56716-2914

Office Location

Street Address 603 BRUCE ST
City CROOKSTON
State MN
Zip Code 56716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538787841 Justine Danielle John Social Worker 603 Bruce St, Crookston, MN 56716-2914 2020-07-13
1891341319 Elizabeth Ann Murphy Nurse Practitioner 603 Bruce St, Crookston, MN 56716-2914 2019-08-12
1902369275 Janelle Bernice Artmann Social Worker 603 Bruce St, Crookston, MN 56716-2914 2019-04-12
1770047367 Mandy Leeann Lundby Social Worker 603 Bruce St, Crookston, MN 56716-2914 2019-01-28
1184191066 Valerie Wagner Counselor 603 Bruce St, Crookston, MN 56716-2914 2018-10-29
1245711720 Lindsey Young Counselor 603 Bruce St, Crookston, MN 56716-2914 2018-08-23
1912483397 Amber Dawn Deere Nurse Practitioner 603 Bruce St, Crookston, MN 56716-2914 2018-07-18
1336664614 Matthew Ryan Keller Social Worker 603 Bruce St, Crookston, MN 56716-2914 2017-08-08
1265953053 Martina Mlikota Counselor 603 Bruce St, Crookston, MN 56716-2914 2017-06-30
1821533035 Lauren Shalane Wagendorf Counselor 603 Bruce St, Crookston, MN 56716 2016-12-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942789912 Savannah Danielle Miller Pharmacist 323 S Minnesota Street, Crookston, MN 56716 2018-08-10
1902037377 David Fernando Frugone Larrea Internal Medicine 400 South Minnesota Street, Crookston, MN 56716 2009-08-04
1831327964 Andres O Makarem Internal Medicine 400 S. Minnesota Ave, Crookston, MN 56716 2009-06-26
1255498564 Ind School District 593 Local Education Agency (LEA) 402 Fisher Ave, Crookston, MN 56716 2007-01-03
1821109422 Marla Rae Love Dietitian, Registered 400 S Minnesota Street, Crookston, MN 56716 2006-08-31
1215932728 Villa St. Vincent Skilled Nursing Facility 516 Walsh St, Crookston, MN 56716 2005-06-21
1740769090 Christine Jane Loff Physical Therapist 323 S Minnesota St, Crookston, MN 56716 2018-08-08
1336594449 Lesmeister Dental LLC Dentist 1726 University Ave, Crookston, MN 56716 2016-04-26
1700271012 Maneesh C. Kanal Internal Medicine 323 S Minnesota St, Crookston, MN 56716 2015-04-02
1114270550 William T Erickson Dentist 1726 University Ave, Crookston, MN 56716 2012-10-23
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1821698671 St. Cloud Tms LLC Clinic/Center 925 E Superior St Ste 106, Duluth, MN 55802-2253 2020-10-30
1740880764 East Metro Trauma and Recovery LLC Clinic/Center 4116 Hoffman Rd, White Bear Lake, MN 55110-3708 2020-10-28
1851991160 Gratia Counseling & Consulting, LLC Clinic/Center 2705 Bunker Lake Blvd Nw Ste 103, Andover, MN 55304-3786 2020-10-27
1508465147 Piece of Mind Counseling Services, Pllc Clinic/Center 1122 Bemidji Ave N, Bemidji, MN 56601-2833 2020-10-24
1205433984 Hopebridge Life Skills Center Clinic/Center 3617 E Lake St, Minneapolis, MN 55406-2148 2020-10-05
1275149007 Clarity Counseling Services Pllc Clinic/Center 521 W Highway 2, Cohasset, MN 55721-2300 2020-09-17
1720693146 Serene Therapy and Counseling Services LLC Clinic/Center 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 2020-09-11
1427662592 Threesixty, LLC Clinic/Center 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 2020-09-04
1124639190 Woodhaven Wellness Clinic/Center 3000 Carriage Dr, Hamel, MN 55340-9597 2020-08-13
1245840735 Kalina Counseling Services Clinic/Center 120 7th St Unit 101, Two Harbors, MN 55616-1563 2020-08-09
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Competitor

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City CROOKSTON
Zip Code 56716

Improve Information

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Dataset Information

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.

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