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CENTER FOR SELF-GROWTH & RENEWAL, PC
NPI 1265658967
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Forks, ND

Active since April 18, 2007
1551 28TH AVE S, SUITE C, GRAND FORKS, ND 58201(701) 746-4400(701) 746-6034 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Center For Self-growth & Renewal, Pc NPPES

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

CENTER FOR SELF-GROWTH & RENEWAL, PC (NPI 1265658967) is a healthcare organization registered as a mental health (including community mental health center) in Grand Forks, North Dakota and active in the NPI registry since April 2007. The organization lists Laurie Ann Brustad, Owner, as its authorized official.

NPPES Registry Identity

NPI1265658967
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCENTER FOR SELF-GROWTH & RENEWAL, PC
Location Address1551 28TH AVE S, SUITE CGrand Forks, ND 58201-6782
Mailing Address1551 28th Ave S, Suite CGrand Forks, ND 58201-6782 · (701) 746-4400 · Fax (701) 746-6034
Phone(701) 746-4400
Fax(701) 746-6034
Organization SubpartNo
Authorized OfficialLaurie Ann BrustadOwner · (701) 746-4400
Enumeration DateApril 18, 2007
Last NPPES UpdateOctober 26, 2011
✔ NPI 1265658967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1551 28TH AVE S, Grand Forks, ND 58201
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Other Identifiers 2

Medicaid11912ND
Medicare PINN71158ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Self-growth & Renewal, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Center For Self-Growth & Renewal, PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Winonah Monette, MSW, LAC, LICSW
Clinical Social Worker
NPI 1477931806
1913 S WASHINGTON ST STE C
Grand Forks, ND 58201
(701) 317-6590
✔ PECOS✔ Accepts Medicare0.6 mi
Laurie Brustad Kennedy, PH.D.
Clinical Psychologist
NPI 1326169921
600 DEMERS AVE SUITE 404
Grand Forks, ND 58201
(701) 746-4400
✔ PECOS✔ Accepts Medicare2.1 mi
Avery Luft, LICSW
Clinical Social Worker
NPI 1053823294
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts Medicare2.3 mi
Kayla Norton, L.C.S.W.
Clinical Social Worker
NPI 1013486166
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts Medicare2.3 mi
Matthew Keller, MSW, LICSW
Clinical Social Worker
NPI 1336664614
603 BRUCE ST
Crookston, MN 56716
(218) 281-3940
✔ PECOS✔ Accepts Medicare22 mi
Brennan Atherton, PHD
Clinical Psychologist
NPI 1215319330
1309 11TH ST W APT 208
Williston, ND 58801
(801) 717-0405
✔ PECOS✔ Accepts Medicare306 mi

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 Center For Self-Growth & Renewal, PC's NPI number?

The NPI number for Center For Self-Growth & Renewal, PC is 1265658967. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Center For Self-Growth & Renewal, PC located?

Center For Self-Growth & Renewal, PC is located at 1551 28th Ave S Suite C, Grand Forks, ND 58201. The listed phone number is (701) 746-4400.

What is Center For Self-Growth & Renewal, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Center For Self-Growth & Renewal, PC enrolled in Medicare?

Yes. Center For Self-Growth & Renewal, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Self-Growth & Renewal, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Center For Self-Growth & Renewal, PC. 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 (4) and Clinical Psychologist (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Center For Self-Growth & Renewal, PC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Center For Self-Growth & Renewal, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Center For Self-Growth & Renewal, PC was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.