FDL HUMAN SERVICES BEHAVIORAL HEALTH
NPI 1053772087
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cloquet, MN
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
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fdl Human Services Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to Fdl Human Services Behavioral Health, which bills Medicare for the services they deliver. Of these, 32 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 68Cloquet, MN 55720
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Fond Du Lac Reservation Business Committee enrolled in Medicare?
Yes. Fond Du Lac Reservation Business Committee is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fond Du Lac Reservation Business Committee?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 13 Medicare specialties reassign their Medicare billing to Fond Du Lac Reservation Business Committee. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (13) and Diagnostic Radiology (9). Of these, 32 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Fdl Human Services Behavioral Health · NPI 1053772087
Mental Health (Including Community Mental Health Center) organization in Cloquet, Minnesota. Organization record, active in the CMS NPPES registry since March 18, 2016.
## Identity
- **NPI:** 1053772087 (Entity type: Organization)
- **Enumerated:** March 18, 2016
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Fond Du Lac Reservation Business Committee
- **Organization subpart:** Yes (part of Fond Du Lac Human Services Division)
- **Authorized official:** Jennifer Dupuis, ASSOCIATE DIRECTOR
## Practice location
- **Address:** 927 TRETTEL LN, Cloquet, MN 55720-1345
- **Phone:** (218) 879-1227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 68 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (13), Diagnostic Radiology (9); 32 practice at this address and 41 within 10 miles; [full list](https://npiprofile.com/npi/1053772087/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2020
- **Other identifiers:** Other 8F27FO (MN); Medicaid 666815100 (MN); Medicaid 666815101 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1053772087) · Data from the CMS NPPES public registry.