NORTHLAND COUNSELING CENTER, INC (NPI# 1639625759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639625759 |
| Entity Type | Organization |
| Organization Name | NORTHLAND COUNSELING CENTER, INC |
| Other Organization Name | NORTHLAND RECOVERY PINEVIEW CENTER |
| Practice Address |
912 Main St Unit B Littlefork MN 56653-9378 |
| Mailing Address |
215 2nd Avenue Se Grand Rapids MN 55744-3615 |
| Practice Telephone | 2182784607 |
| Practice Fax Number | 2182786223 |
| Mailing Telephone | 2183261274 |
| Mailing Fax Number | 2183276085 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | MR. GREG WALKER (CEO) |
| Authorized Official Telephone | 2183261274 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1081102-1-CDT | MN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Northland Recovery Pineview Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972792935 | Northland Counseling Center, Inc | Substance Abuse Rehabilitation Facility | 213 Se 11th St, Grand Rapids, MN 55744-3970 | 2007-10-16 |
| Street Address |
912 MAIN ST UNIT B |
| City | LITTLEFORK |
| State | MN |
| Zip Code | 56653-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811422363 | Heidi Christensen | Counselor | 912 Main St, Unit B, Littlefork, MN 56653-9378 | 2017-04-21 |
| 1912365529 | International Falls Memorial Hospital Association | Non-Pharmacy Dispensing Site | 912 Main St, Littlefork, MN 56653-9357 | 2016-02-10 |
| 1063870129 | Koochiching Health Services | Assisted Living Facility | 912 Main St, Littlefork, MN 56653-9357 | 2016-02-04 |
| 1609233980 | Koochiching Health Services | Skilled Nursing Facility | 912 Main St, Littlefork, MN 56653-9357 | 2016-01-18 |
| 1669812459 | Nicole Marie Busch | Nurse Practitioner | 912 Main St, Littlefork, MN 56653-9357 | 2013-06-26 |
| 1295879906 | Littlefork Municipal Hospital | Clinic/Center | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-16 |
| 1275674137 | Betty J Ewald | Physical Therapist | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
| 1265573182 | Heather Lynn Juen | Physical Therapist | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
| 1245371194 | Linda Helene Nordlund | Nurse Practitioner | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
| 1326180100 | Littlefork Municipal Hospital | Substance Abuse Rehabilitation Facility | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215186 | Hannah Lydia Larson | Speech-Language Pathologist | 5531 County Rd 8, Littlefork, MN 56653 | 2017-03-02 |
| 1255528659 | Ind School Dist 362 | Local Education Agency (LEA) | 700 Main St, Littlefork, MN 56653-9319 | 2007-09-29 |
| 1659353738 | Paul David Havens | Family Medicine | 912 Main Street, Littlefork, MN 56653-9357 | 2005-11-15 |
| 1003976390 | City of Littlefork | Ambulance | 901 Main St, Littlefork, MN 56653-9357 | 2006-12-10 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1295152171 | Cynthia Lee Gudahl | Counselor | 912 Main St Unit B, Littlefork, MN 56653-9379 | 2014-03-27 |
| 1588110530 | Northland Recovery Pineview Center | Substance Abuse Rehabilitation Facility | 912 Main St Unit B, Littlefork, MN 56653-9379 | 2016-08-30 |
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588110530 | Northland Recovery Pineview Center | Substance Abuse Rehabilitation Facility | 912 Main St Unit B, Littlefork, MN 56653-9379 | 2016-08-30 |
| 1326180100 | Littlefork Municipal Hospital | Substance Abuse Rehabilitation Facility | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
| 1407998289 | Littlefork Municipal Hospital | Substance Abuse Rehabilitation Facility | 912 Main St, Littlefork, MN 56653-9357 | 2007-02-12 |
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| Find all providers with the same taxonomy | ||||
| City | LITTLEFORK |
| Zip Code | 56653 |
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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.