Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NORTHERN PINES MENTAL HEALTH CENTER, INC.
Active
Organization
NORTHERN PINES MENTAL HEALTH CENTER, INC.
Active
Other names
Northern Pines Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA VAUGHN (EXECUTIVE DIRECTOR)
(320) 639-2025
Entity
Organization
Contact information
Practice address
1906 5TH AVE SE, LITTLE FALLS, MN 56345-3317
(320) 632-6647
(320) 632-9525
Mailing address
PO BOX 367, 1906 5TH AVE SE, LITTLE FALLS, MN 56345-0367
(320) 632-6642
(320) 632-9525
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
8017541MHC
MN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1001061CDT
MN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
10102841CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007444000
—
MN
01
—
126039
UCARE MINNESOTA
MN
05
—
195354100
—
MN
01
—
4788N0
BCBS OF MINNESOTA
MN
01
—
6369
HEALTH PARTNERS
MN
01
—
83367N0
BCBS OF MINNESOTA
MN
05
—
834755700
—
MN
01
—
98224
PREFERRED ONE
MN
Enumeration date
10/04/2005
Last updated
09/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up