WALDHAVEN MENTAL HEALTH PLLC
NPI 1083569479
Clinic/Center - Mental Health (Including Community Mental Health Center) in Saint Paul, MN
About Waldhaven Mental Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALDHAVEN MENTAL HEALTH PLLC (NPI 1083569479) is a healthcare organization registered as a mental health (including community mental health center) in Saint Paul, Minnesota and active in the NPI registry since March 2026. The organization lists Steven Lutes, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Waldhaven Mental Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Waldhaven Mental Health PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Waldhaven Mental Health PLLC's NPI number?
The NPI number for Waldhaven Mental Health PLLC is 1083569479. It was assigned to this organization in the NPPES registry on March 2, 2026.
Where is Waldhaven Mental Health PLLC located?
Waldhaven Mental Health PLLC is located at 892 Arlington Ave W, Saint Paul, MN 55117. The listed phone number is (612) 597-2669.
What is Waldhaven Mental Health PLLC'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 Waldhaven Mental Health PLLC enrolled in Medicare?
Yes. Waldhaven Mental Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Waldhaven Mental Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Waldhaven Mental Health PLLC, in Clinical Social Worker and Marriage and Family Therapist. 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. Of these, 2 practice 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 Waldhaven Mental Health PLLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Waldhaven Mental Health Pllc · NPI 1083569479
Mental Health (Including Community Mental Health Center) organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since March 2, 2026.
## Identity
- **NPI:** 1083569479 (Entity type: Organization)
- **Enumerated:** March 2, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Steven Lutes, CFO
## Practice location
- **Address:** 892 ARLINGTON AVE W, Saint Paul, MN 55117-3310
- **Phone:** (612) 597-2669
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Marriage and Family Therapist (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083569479) · Data from the CMS NPPES public registry.