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

NPI Status: Active since April 03, 2007

Contact Information

730 DODGE AVE NW
SUITE 101
ELK RIVER, MN
ZIP 55330
Phone: (763) 441-3770
Fax: (763) 441-9057

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  • Organization
  • Counselor
  • Addiction (Substance Use Disorder)
  • CLIA Number: 24D2116385
  • CLIA Cert. Type: Other - COMMUNITY MENTAL HEALTH C
  • CLIA Exp. Date: 07-25-2026

About CENTRAL MINNESOTA MENTAL HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Central Minnesota Mental Health Center, a provider established in Elk River, Minnesota operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1114048170 assigned on April 2007. The practitioner's primary taxonomy code is 101YA0400X with license number 809836-3-CDT (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. Central Minnesota Mental Health Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David Baraga Ph.d, Lp (Executive Director)

NPI
1114048170
Provider Name
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Entity Type
Organization
Location Address
730 DODGE AVE NW SUITE 101 ELK RIVER, MN 55330
Location Phone
(763) 441-3770
Location Fax
(763) 441-9057
Mailing Address
1321 13TH ST N SAINT CLOUD, MN 56303
Mailing Phone
(320) 252-5010
Mailing Fax
(763) 441-9057
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2007
Last Update Date
07-21-2008
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A Substance Abuse or Addiction Counselor like Central Minnesota Mental Health Center advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
809836-3-CDT
License State
MN

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID BARAGA PH.D, LP

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(320) 202-2033

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
127824000OTHER (01)MNPROVIDER NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2116385
Facility Type
Other - COMMUNITY MENTAL HEALTH C
Certificate Effective Date
July 26, 2024
Certificate Expiration Date
July 25, 2026
Laboratory Director
JESSICA R. BRANDON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Minnesota Mental Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114048170, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 0 + 4 + 1 + 6 + 1 + 1 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1114048170.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114048170, enumerated as an "organization" on April 03, 2007.

The provider is located at 730 DODGE AVE NW SUITE 101 ELK RIVER, MN 55330 and the phone number is (763) 441-3770.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.