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FDL HUMAN SERVICES BEHAVIORAL HEALTH
NPI 1053772087
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cloquet, MN

Active since March 18, 2016
927 TRETTEL LN, CLOQUET, MN 55720(218) 879-1227 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2020, Oct 18, 2016, Mar 18, 2016 (3 updates tracked since 2016).

About Fdl Human Services Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FDL HUMAN SERVICES BEHAVIORAL HEALTH (NPI 1053772087) is a healthcare organization registered as a mental health (including community mental health center) in Cloquet, Minnesota and active in the NPI registry since March 2016. The organization lists Jennifer Dupuis, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1053772087
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFOND DU LAC RESERVATION BUSINESS COMMITTEE
Location Address927 TRETTEL LNCloquet, MN 55720-1345
Mailing Address927 Trettel LnCloquet, MN 55720-1345 · (218) 879-1227
Phone(218) 879-1227
Organization SubpartYesParent: Fond Du Lac Human Services Division
Authorized OfficialJennifer DupuisAssociate Director · (218) 879-1227
Enumeration DateMarch 18, 2016
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1053772087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
927 TRETTEL LN, Cloquet, MN 55720
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Other Names 1

Other NameFdl Human Services Behavioral Health

Other Identifiers 3

Other8F27FOMN · Bcbs Aoda
Medicaid666815100MN
Medicaid666815101MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ARNE VAINIO MD
Family Medicine
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
TAYLOR BECKENBACH LMFT
Marriage & Family Therapist
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
KEVIN RANDA LPCC
Counselor (Professional)
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
KARI STROIK LICSW
Social Worker (Clinical)
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
MRS. KIRSTEN MARIE KORTESMA NP
Nurse Practitioner (Family)
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
MS. LEEANNA LYNN STOCK RN, LD, CO
Dietitian, Registered
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
DR. ROBERT ALEXANDER JOHNSON DMD
Dentist
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
KATIE HUGHES
Health Educator
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fond Du Lac Reservation Business Committee's NPI number?

The NPI number for Fond Du Lac Reservation Business Committee is 1053772087. It was assigned to this organization in the NPPES registry on March 18, 2016. The provider is also known as Fdl Human Services Behavioral Health.

Where is Fond Du Lac Reservation Business Committee located?

Fond Du Lac Reservation Business Committee is located at 927 Trettel Ln, Cloquet, MN 55720. The listed phone number is (218) 879-1227.

What is Fond Du Lac Reservation Business Committee's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Fond Du Lac Reservation Business Committee was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.