Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CALM HARBOR BEHAVIORAL HEALTH SERVICES
NPI 1205778719
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MN

Active since April 06, 2026
813 S POKEGAMA AVE, GRAND RAPIDS, MN 55744(651) 272-2271 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Calm Harbor Behavioral Health Services NPPES

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

CALM HARBOR BEHAVIORAL HEALTH SERVICES (NPI 1205778719) is a healthcare organization registered as a psychiatric/mental health in Grand Rapids, Minnesota and active in the NPI registry since April 2026. The organization lists Kristina Nicole Jacobsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1205778719
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCALM HARBOR BEHAVIORAL HEALTH SERVICES
Location Address813 S POKEGAMA AVEGrand Rapids, MN 55744-3934
Mailing Address10 East StHoneoye Falls, NY 14472-1202
Organization SubpartNo
Authorized OfficialKristina Nicole JacobsenOwner · (651) 343-5936
Enumeration DateApril 6, 2026
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1205778719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
813 S POKEGAMA AVE, Grand Rapids, MN 55744

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
813 S POKEGAMA AVE, LOWER LEVEL
GRAND RAPIDS, MN 55744

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 Calm Harbor Behavioral Health Services's NPI number?

The NPI number for Calm Harbor Behavioral Health Services is 1205778719. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Calm Harbor Behavioral Health Services located?

Calm Harbor Behavioral Health Services is located at 813 S Pokegama Ave, Grand Rapids, MN 55744. The listed phone number is (651) 272-2271.

What is Calm Harbor Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Calm Harbor Behavioral Health Services was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.