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: July 26, 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
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

Other Identifiers 2

Medicaid11912ND
Medicare PINN71158ND

Accepted Insurance

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 (Women's Health)
1551 28TH AVE S
GRAND FORKS, ND 58201

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.

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 with the weekly NPPES data releases published by CMS.