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CENTRAL MINNESOTA MENTAL HEALTH CENTER
NPI 1114048170
Counselor - Addiction (Substance Use Disorder) in Elk River, MN

Active since April 03, 2007
730 DODGE AVE NW, SUITE 101, ELK RIVER, MN 55330(763) 441-3770(763) 441-9057 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Minnesota Mental Health Center NPPES

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

CENTRAL MINNESOTA MENTAL HEALTH CENTER (NPI 1114048170) is a healthcare organization registered as an addiction (substance use disorder) in Elk River, Minnesota and active in the NPI registry since April 2007. The organization lists David Baraga, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114048170
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameCENTRAL MINNESOTA MENTAL HEALTH CENTER
Location Address730 DODGE AVE NW, SUITE 101Elk River, MN 55330-1926
Mailing Address1321 13th St NSaint Cloud, MN 56303-2613 · (320) 252-5010 · Fax (320) 203-1855
Phone(763) 441-3770
Fax(763) 441-9057
Organization SubpartNo
Authorized OfficialDavid BaragaExecutive Director · (320) 202-2033
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 21, 2008
✔ NPI 1114048170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 809836-3-CDT
730 DODGE AVE NW, Elk River, MN 55330
Open in Google Maps ↗

Other Identifiers 1

Other127824000MN · Provider Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2116385

Central Minnesota Mental Health Center · Saint Cloud, MN
Expired · Jul 25, 2026
CLIA Number24D2116385
Laboratory TypeCommunity Mental Health C
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorJessica R. Brandon
Laboratory Phone(320) 230-0532
Laboratory LocationCentral Minnesota Mental Health Center1350 14th Street North, Saint Cloud, MN 56303
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Central Minnesota Mental Health Center's NPI number?

The NPI number for Central Minnesota Mental Health Center is 1114048170. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Central Minnesota Mental Health Center located?

Central Minnesota Mental Health Center is located at 730 Dodge Ave NW Suite 101, Elk River, MN 55330. The listed phone number is (763) 441-3770.

What is Central Minnesota Mental Health Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Central Minnesota Mental Health Center was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.