NORTHWOOD CHILDREN'S SERVICES, INC (NPI# 1194881433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194881433 |
| Entity Type | Organization |
| Organization Name | NORTHWOOD CHILDREN'S SERVICES, INC |
| Other Organization Name | DAY TREATMENT |
| Practice Address |
4000 W 9th St Duluth MN 55807-1563 |
| Practice Telephone | 2186252669 |
| Practice Fax Number | 2186252698 |
| Mailing Telephone | 2186252669 |
| Mailing Fax Number | 2186252698 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MR. JOHN MELVIN EK (DIR. OF Q.A.) |
| Authorized Official Telephone | 2186252646 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWOOD CHILDREN SERVICES HOME SOCIETY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 845717 | 01 | |
| BCBS | 122L9NO | 01 |
| Other Name | Type Code |
|---|---|
| Day Treatment | Other Name - Individual/Organization |
| Street Address |
4000 W 9TH ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1861950503 | Erin C Krois | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2019-03-12 |
| 1902371412 | Jessica Kay Graham | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2018-10-11 |
| 1831675206 | Anna Kristine Malay | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2018-07-18 |
| 1528593217 | Samantha Jo Alvar | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2017-05-01 |
| 1336592625 | Northwood Children's Home Society Inc | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2016-07-21 |
| 1124483888 | Patricia Ann Miller | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2015-12-23 |
| 1619362050 | Natalie Solga | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2015-04-02 |
| 1417366378 | Edward Wehmas | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2014-08-05 |
| 1407106396 | Rachel N Rehbein | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2012-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| Find all providers in zip 55807 | ||||
| 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 | ||||
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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.