CENTRAL MINNESOTA MENTAL HEALTH CENTER
NPI 1114048170
Counselor - Addiction (Substance Use Disorder) in Elk River, MN
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 holds a CLIA Waiver certificate valid through July 25, 2028 and lists David Baraga, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Minnesota Mental Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
48Medicare enrollment records show 48 clinicians reassign Medicare billing to Central Minnesota Mental Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 48Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MNFrequently 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.
Is Central Minnesota Mental Health Center enrolled in Medicare?
Yes. Central Minnesota Mental Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Minnesota Mental Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 6 Medicare specialties reassign their Medicare billing to Central Minnesota Mental Health Center. 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 Clinical Social Worker (22), Mental Health Counselor (10) and Marriage and Family Therapist (7). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Central Minnesota Mental Health Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2116385) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# Central Minnesota Mental Health Center · NPI 1114048170
Addiction (Substance Use Disorder) organization in Elk River, Minnesota. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1114048170 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Organization subpart:** No
- **Authorized official:** David Baraga, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 730 DODGE AVE NW, SUITE 101, Elk River, MN 55330-1926
- **Phone:** (763) 441-3770 · **Fax:** (763) 441-9057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 48 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (22), Mental Health Counselor (10), Marriage and Family Therapist (7); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1114048170/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2008
- **Other identifiers:** Other 127824000 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114048170) · Data from the CMS NPPES public registry.