BEHAVIORAL HEALTH ASSOCIATES, LTD. (NPI# 1104128156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104128156 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH ASSOCIATES, LTD. |
| Practice Address |
1132 28th Ave S Suite 105a Moorhead MN 56560-4420 |
| Mailing Address |
Po Box 40 Paynesville MN 56362-0040 |
| Practice Telephone | 8002469036 |
| Practice Fax Number | 8886884095 |
| Mailing Telephone | 8002469036 |
| Mailing Fax Number | 8886884095 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | MR. JEFFREY LUNDQUIST (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 8002469036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
A470016300 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1132 28TH AVE S SUITE 105A |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023197522 | Carol Collette Follingstad | Psychologist | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2006-11-03 |
| 1942834429 | Nicole Annette Ogan | Counselor | 1132 28th Ave S, Moorhead, MN 56560-4420 | 2020-02-24 |
| 1376902106 | Wajir Transportation, LLC | Non-emergency Medical Transport (VAN) | 1132 28th Ave S, 104, Moorhead, MN 56560-4420 | 2016-02-22 |
| 1700250099 | Amber M Michalski | Counselor | 1132 28th Ave S, Moorhead, MN 56560-4420 | 2015-11-24 |
| 1083002455 | Christen Bergeron | Counselor | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2015-01-07 |
| 1598163503 | Greater Minnesota Community Services | Clinic/Center | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2014-12-08 |
| 1497160998 | Michelle Wilson | Counselor | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2014-06-24 |
| 1437582566 | Integrated Counseling Services | Community/Behavioral Health | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2013-08-13 |
| 1689917924 | Karin M Lundquist | Counselor | 1132 28th Ave S, Moorhead, MN 56560-4420 | 2013-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770815417 | Eric Rudrud | Psychologist | 1913 14th St S, Saint Cloud, MN 56301-4855 | 2010-02-05 |
| 1952466005 | Maplewood Homes Assisted Living | Psychologist | 326 7th St Nw, Faribault, MN 55021-4271 | 2006-12-27 |
| 1316560287 | Haley Oestreich | Psychologist | 223 Center St, Winona, MN 55987-3595 | 2020-05-26 |
| 1831233055 | Joanne Marie Williamsen | Psychologist | 3300 County Road 10, Suite 500, Brooklyn Center, MN 55429-3072 | 2007-02-19 |
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| 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.