CENTRAL MINNESOTA MENTAL HEALTH CENTER (NPI# 1831177195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831177195 |
| Entity Type | Organization |
| Organization Name | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| Other Organization Name | CMMHC |
| Practice Address |
1321 13th St N Saint Cloud MN 56303-2613 |
| Practice Telephone | 3202525010 |
| Practice Fax Number | 3202031855 |
| Mailing Telephone | 3202525010 |
| Mailing Fax Number | 3202031855 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | DR. DAVID J. BARAGA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3202525010 |
| Authorized Official Credential | PH.D., LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
804852-1-DS | MN | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
800832-2-CDT | MN | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
807286-3-CDT | MN | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
809836-2-CDT | MN | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1022869-1-CDT | MN | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
800357-1-C | MN | Behavioral Health & Social Service Providers |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 809140-1-RMI | MN | Residential Treatment Facilities |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
800356-1-M | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 492319700 | 05 | |
| MN | 664725100 | 05 | |
| MN | 024755300 | 05 | |
| MN | 024755301 | 05 | |
| MN | 127824000 | 05 | |
| MN | 742698400 | 05 | |
| MN | 233650200 | 05 | |
| MN | 676555600 | 05 | |
| MN | 764442600 | 05 |
| Other Name | Type Code |
|---|---|
| CMMHC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164934303 | Central Minnesota Mental Health Center | Counselor | 253 8th Street Nw, Suite A, Elk River, MN 55330-1780 | 2017-10-27 |
| 1831386275 | Central Minnesota Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 380 Annandale Blvd, Annandale, MN 55302 | 2007-10-01 |
| 1386766426 | Central Minnesota Mental Health Center | Counselor | 3220 8th Street North, Saint Cloud, MN 56303-3128 | 2007-04-06 |
| 1114048170 | Central Minnesota Mental Health Center | Counselor | 730 Dodge Ave Nw, Suite 101, Elk River, MN 55330-1926 | 2007-04-03 |
| 1225016306 | Central Minnesota Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 1509 24th Ave N, Saint Cloud, MN 56303-1306 | 2006-01-09 |
| 1558782250 | Central Minnesota Mental Health Center | Community/Behavioral Health | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2013-12-23 |
| 1053576546 | Central Minnesota Mental Health Center | Counselor | 3333 W Division St, Suite 219, Saint Cloud, MN 56301-4515 | 2008-07-23 |
| 1780890046 | Central Minnesota Mental Health Center | Counselor | 407 Washington St, Monticello, MN 55362-8815 | 2007-05-15 |
| 1942416268 | Central Minnesota Mental Health Center | Counselor | 407 Washington St, Monticello, MN 55362-8815 | 2007-05-15 |
| 1639384043 | Central Minnesota Mental Health Center | Counselor | 3333 W Division St, Suite 217, Saint Cloud, MN 56301-4515 | 2007-05-11 |
| Street Address |
1321 13TH ST N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374080 | Sarah Jean Maurer | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2019-12-27 |
| 1083256267 | Steven Ringsmuth Stolpman | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2019-10-09 |
| 1508412925 | Brandon Stavish | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2019-08-12 |
| 1033603527 | Abigail Rae Charlson | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2018-06-18 |
| 1720597487 | April Ann Hegdahl | Social Worker | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2017-09-26 |
| 1811416357 | Samantha Elizabeth Knauss | Social Worker | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2017-09-15 |
| 1134646763 | Allison Michelle Immel | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2017-08-24 |
| 1225410194 | Jennifer Lynn Bauer | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2015-06-26 |
| 1780081398 | Ashley Ann Christen | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2014-11-25 |
| 1114327111 | Scott Michael Farmer | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923714 | Olivia Rose Chiarelli | Counselor | 616 University Dr S, Saint Cloud, MN 56301-5301 | 2020-08-23 |
| 1376151837 | Abdigani Abdirahman Ahmed | Counselor | 1026 4th St Se Ste 202, Saint Cloud, MN 56304-1371 | 2020-07-21 |
| 1891315602 | Dina Lynn Robinson | Counselor | 416 Riverside Dr Se, Saint Cloud, MN 56304-1030 | 2020-04-22 |
| 1932733284 | Ubbad LLC | Counselor | 50 28th Ave N Ste 50, Saint Cloud, MN 56303-4241 | 2020-02-26 |
| 1588295190 | Stephanie M Cruz, LLC | Counselor | 3282 Canoe Creek Rd, Saint Cloud, FL 34772-9115 | 2020-02-01 |
| 1487296778 | Karla Michelle Diaz | Counselor | 5424 Marylebone Dr, Saint Cloud, FL 34771-3901 | 2019-10-08 |
| 1669021895 | Mary Lynn Widseth | Counselor | 2700 1st St N # 204, Saint Cloud, MN 56303-4256 | 2019-09-10 |
| 1881133536 | Celia Tejeda | Counselor | 3201 Slate Rd, Saint Cloud, FL 34772-6507 | 2017-02-14 |
| 1144673807 | Krista Vosberg, Pllc | Counselor | 2425 42nd Ave S, Saint Cloud, MN 56301-6014 | 2016-07-18 |
| 1932557626 | Sandra Mertune | Counselor | 2911 Sonata Ct, Saint Cloud, FL 34772-6701 | 2016-06-02 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on CENTRAL MINNESOTA MENTAL HEALTH CENTER.
| 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.