NORTHWAY INTENSIVE RESIDENTIAL TREATMENT
NPI 1225016306
Community Based Residential Treatment Facility, Mental Illness in Saint Cloud, MN

Active since January 09, 2006
1509 24TH AVE N, SAINT CLOUD, MN 56303(320) 252-8648(320) 529-4909 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northway Intensive Residential Treatment NPPES

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

NORTHWAY INTENSIVE RESIDENTIAL TREATMENT (NPI 1225016306) is a healthcare organization registered as a community based residential treatment facility, mental illness in Saint Cloud, Minnesota and active in the NPI registry since January 2006. The organization lists David J. Baraga, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225016306
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCENTRAL MINNESOTA MENTAL HEALTH CENTER
Location Address1509 24TH AVE NSaint Cloud, MN 56303-1306
Mailing Address1321 13th St NSaint Cloud, MN 56303-2613 · (320) 252-5010 · Fax (320) 203-1855
Fax(320) 529-4909
Organization SubpartNo
Authorized OfficialDavid J. BaragaExecutive Director · (320) 252-5010
Enumeration DateJanuary 9, 2006
Last NPPES UpdateAugust 5, 2009
✔ NPI 1225016306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in MN · 801767-1-RMI
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1509 24TH AVE N, Saint Cloud, MN 56303

Other Names 1

Doing Business AsNorthway Intensive Residential Treatment

Other Identifiers 1

Medicaid640902400MN

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northway Intensive Residential Treatment is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Northway Intensive Residential Treatment, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker22
Mental Health Counselor10
Marriage and Family Therapist7
Nurse Practitioner4
Psychiatry3
Clinical Psychologist2

Nearest to this location (20)

See all 48
Mental Health Counselor
NPI 1780081398
1321 13TH ST N
Saint Cloud, MN 56303
(320) 252-5010
✔ PECOS✔ Accepts Medicare0.4 mi
Mental Health Counselor
NPI 1255138780
1321 13TH ST N
Saint Cloud, MN 56303
(320) 252-5010
✔ PECOS0.4 mi
Clinical Psychologist
NPI 1003116047
1321 13TH ST N
Saint Cloud, MN 56303
(320) 252-5010
✔ PECOS0.4 mi
Clinical Social Worker
NPI 1720597487
1321 13TH ST N
Saint Cloud, MN 56303
(320) 202-0627
✔ PECOS✔ Accepts Medicare0.4 mi
Mental Health Counselor
NPI 1043036478
1321 13TH ST N BLDG A
Saint Cloud, MN 56303
(320) 252-5010
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Social Worker
NPI 1760264329
1321 13TH ST N
Saint Cloud, MN 56303
(320) 339-8546
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Social Worker
NPI 1689953184
1321 13TH ST N
Saint Cloud, MN 56303
(320) 252-5010
✔ PECOS✔ Accepts Medicare0.4 mi
Mental Health Counselor
NPI 1508412925
1321 13TH ST N
Saint Cloud, MN 56303
(320) 202-2060
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Social Worker
NPI 1851164867
1321 13TH ST N
Saint Cloud, MN 56303
(320) 252-5010
✔ PECOS0.4 mi
Marriage and Family Therapist
NPI 1508667163
1321 13TH ST N
Saint Cloud, MN 56303
(320) 252-5010
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Social Worker
NPI 1548706369
1406 6TH AVE N
Saint Cloud, MN 56303
(320) 229-2700
✔ PECOS0.8 mi
Mental Health Counselor
NPI 1316314917
3400 1ST ST N STE 101
Saint Cloud, MN 56303
(320) 257-4230
✔ PECOS✔ Accepts Medicare1.7 mi
Clinical Social Worker
NPI 1669794723
22 WILSON AVE NE STE 110
Saint Cloud, MN 56304
(320) 251-7700
✔ PECOS1.8 mi
Clinical Social Worker
NPI 1356913420
2835 W SAINT GERMAIN ST STE 550
Saint Cloud, MN 56301
(320) 251-7700
✔ PECOS2.2 mi
Clinical Social Worker
NPI 1619594264
423 GREAT OAK DR
Waite Park, MN 56387
(218) 287-4338
✔ PECOS2.3 mi
Psychiatry
NPI 1568406387
411 3RD ST N
Waite Park, MN 56387
(320) 253-4120
✔ PECOS2.7 mi
Marriage and Family Therapist
NPI 1912542127
411 3RD ST N
Waite Park, MN 56387
(320) 230-0672
✔ PECOS2.7 mi
Clinical Social Worker
NPI 1881461143
411 3RD ST N
Waite Park, MN 56387
(320) 230-2013
✔ PECOS✔ Accepts Medicare2.7 mi
Clinical Social Worker
NPI 1700479268
101 DEHLER DR
Sartell, MN 56377
(320) 253-3512
✔ PECOS✔ Accepts Medicare3.2 mi
Clinical Social Worker
NPI 1881911949
407 WASHINGTON ST
Monticello, MN 55362
(763) 295-4001
✔ PECOS✔ Accepts Medicare27 mi
See all 48 clinicians

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 Central Minnesota Mental Health Center's NPI number?

The NPI number for Central Minnesota Mental Health Center is 1225016306. It was assigned to this organization in the NPPES registry on January 9, 2006. The provider is doing business as Northway Intensive Residential Treatment.

Where is Central Minnesota Mental Health Center located?

Central Minnesota Mental Health Center is located at 1509 24th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-8648.

What is Central Minnesota Mental Health Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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, 19 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 Central Minnesota Mental Health Center was last updated on August 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.