ST LOUIS COUNTY PHHS DEPT (NPI# 1407083421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407083421 |
| Entity Type | Organization |
| Organization Name | ST LOUIS COUNTY PHHS DEPT |
| Other Organization Name | PHHS DEPT |
| Practice Address |
320 W 2nd St Duluth MN 55802-1404 |
| Practice Telephone | 2187262057 |
| Practice Fax Number | 2187332970 |
| Mailing Telephone | 2187262057 |
| Mailing Fax Number | 2187332970 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | 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 | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| PHHS Dept | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417258237 | St Louis County Phhs Dept | Community/Behavioral Health | 320 W 2nd St, Room 409, Duluth, MN 55802-1404 | 2010-11-10 |
| Street Address |
320 W 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417258237 | St Louis County Phhs Dept | Community/Behavioral Health | 320 W 2nd St, Room 409, Duluth, MN 55802-1404 | 2010-11-10 |
| 1073847190 | Christina Ann Heazlett | Social Worker | 320 W 2nd St, Gsc 5th Floor, Duluth, MN 55802-1404 | 2009-09-22 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831532456 | Discovery Course | Case Management | 2310 Summerchase Dr, Duluth, GA 30096-4834 | 2013-04-12 |
| 1619064847 | Positive Impact Health Centers, Inc | Case Management | 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 | 2006-10-09 |
| 1366918492 | Resiliency Housing Support Services, LLC | Case Management | 10 W 5th St, Duluth, MN 55806-3931 | 2018-10-16 |
| 1497298293 | Healthstar / First Nations | Case Management | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-11-28 |
| 1700276813 | Nextimage Medical | Case Management | 11 E Superior St, Suite 410, Duluth, MN 55802-2007 | 2015-01-27 |
| 1588904510 | Belongings, LLC | Case Management | 925 E 4th St, Duluth, MN 55805-2151 | 2013-02-28 |
| 1780950303 | Churches United In Ministry | Case Management | 102 W 2nd St, Duluth, MN 55802-2017 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576295 | Serene Housing LLC | Case Management | 8725 Columbine Rd Unit 46205, Eden Prairie, MN 55344-5855 | 2020-10-23 |
| 1740891605 | Professional Service Group | Case Management | 2520 Larpenteur Ave W Ste 100, Lauderdale, MN 55113-5278 | 2020-08-13 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1063030419 | Red Lake Homeless Shelter Inc. | Case Management | 15855 Main Ave, Red Lake, MN 56671 | 2020-07-13 |
| 1558988899 | Serene Center LLC | Case Management | 4940 W 77th St Ste 76, Edina, MN 55435-4805 | 2020-07-02 |
| 1952927964 | His House Foundation | Case Management | 1866 Woodstone Dr, Victoria, MN 55386-9634 | 2020-06-25 |
| 1134742497 | Rovo Care Inc | Case Management | 419 Cedar Ave S Ste 285, Minneapolis, MN 55454-1032 | 2020-05-21 |
| 1477186427 | Hani Abdikarim Ahmed | Case Management | 740 Portland Ave S Apt 904, Minneapolis, MN 55415-3605 | 2020-02-18 |
| 1144852732 | Independent Lifestyles, Inc. | Case Management | 215 N Benton Dr, Sauk Rapids, MN 56379-1530 | 2020-02-11 |
| 1891327847 | Joshua Harrod | Case Management | 1853 Orchard Hl, Mendota Heights, MN 55118-4168 | 2020-02-07 |
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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.