NORTHEAST BEHAVIORAL HEALTH CLINIC
NPI 1366496341
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Forks, ND

Active since May 22, 2006CLIA 35D2137734 · Waiver
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201(701) 795-3000(701) 795-3050 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Mar 31, 2026, Dec 10, 2020 and 1 more (4 updates tracked since 2020).

About Northeast Behavioral Health Clinic NPPES

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

NORTHEAST BEHAVIORAL HEALTH CLINIC (NPI 1366496341) 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 May 2006. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Donna Aukland, Assistant Cfo - Dhs, as its authorized official.

NPPES Registry Identity

NPI1366496341
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTHEAST BEHAVIORAL HEALTH CLINIC
Location Address151 S 4TH ST, SUITE 401Grand Forks, ND 58201-4715
Mailing Address151 S 4th St Ste 401Grand Forks, ND 58201-4715 · (701) 795-3000 · Fax (701) 795-3050
Fax(701) 795-3050
Organization SubpartNo
Authorized OfficialDonna AuklandAssistant Cfo - Dhs · (701) 328-4924
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1366496341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 1049 (ND)
151 S 4TH ST, Grand Forks, ND 58201

Other Identifiers 4

Other242001ND · Bcbs Nd Prov #
OtherCI4039ND · Railroad Medicare #
Medicaid054519ND
Other90963NOND · Bcbs Of Mn Prov #

Accepted 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)

Northeast Behavioral Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

79

Medicare enrollment records show 79 clinicians reassign Medicare billing to Northeast Behavioral Health Clinic, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Clinical Social Worker30
Mental Health Counselor18
Psychiatry17
Clinical Psychologist11
Certified Clinical Nurse Specialist (CNS)1
Lpcc1
Nurse Practitioner1

Nearest to this location (20)

See all 79
Psychiatry
NPI 1306343876
151 S 4TH ST
Grand Forks, ND 58201
(701) 795-3175
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1518906437
151 S 4TH ST SUITE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1770318073
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1760950406
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOSSame address
Mental Health Counselor
NPI 1790858033
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1053823294
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1235253857
151 S 4TH ST SUITE 401
Grand Forks, ND 58201
(701) 795-3084
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1982773453
151 S 4TH ST SUITE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOSSame address
Clinical Social Worker
NPI 1639803257
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3084
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1124677406
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1649966417
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1841696523
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOSSame address
Clinical Social Worker
NPI 1265922009
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOSSame address
Clinical Social Worker
NPI 1609269869
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1083390900
151 SOUTH 4TH STREET SUITE 401
Grand Forks, ND 58201
(701) 795-3084
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1437559127
151 S 4TH ST
Grand Forks, ND 58201
(701) 741-5853
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1487028932
151 S 4TH ST STE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1285770081
151 S 4TH ST SUITE 401
Grand Forks, ND 58201
(701) 795-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1346614120
151 S 4TH ST
Grand Forks, ND 58201
(701) 395-7000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1407343130
203 14TH ST NE
East Grand Forks, MN 56721
(651) 529-8328
✔ PECOS✔ Accepts Medicare1.1 mi
See all 79 clinicians

Source: 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 35D2137734

Northeast Behavioral Health Clinic · Grand Forks, ND
Active · expires Oct 2, 2027
CLIA Number35D2137734
Laboratory TypeHuman Service Center
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorRose Julius
Laboratory Phone(701) 795-3000
Laboratory LocationNortheast Behavioral Health Clinic151 S 4th St Suite 401, Grand Forks, ND 58201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Northeast Behavioral Health Clinic's NPI number?

The NPI number for Northeast Behavioral Health Clinic is 1366496341. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Northeast Behavioral Health Clinic located?

Northeast Behavioral Health Clinic is located at 151 S 4th St Suite 401, Grand Forks, ND 58201. The listed phone number is (701) 795-3000.

What is Northeast Behavioral Health Clinic'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 Northeast Behavioral Health Clinic enrolled in Medicare?

Yes. Northeast Behavioral Health Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Behavioral Health Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians in 7 Medicare specialties reassign their Medicare billing to Northeast Behavioral Health Clinic. 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 (30), Mental Health Counselor (18) and Psychiatry (17). Of these, 19 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeast Behavioral Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2137734) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Behavioral Health Clinic accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Northeast Behavioral Health Clinic 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 Northeast Behavioral Health Clinic was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.