MINNESOTA SPECIALTY HEALTH SYSTEMS-BRAINERD
NPI 1609154178
Community Based Residential Treatment Facility, Mental Illness in Brainerd, MN

NPI Status: Active since August 01, 2011

Contact Information

11615 STATE AVE
BRAINERD, MN
ZIP 56401
Phone: (218) 828-2718
Fax: (218) 828-2569

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  • Community Based Residential Treatment Fa...

About MINNESOTA SPECIALTY HEALTH SYSTEMS-BRAINERD

This page provides the complete NPI Profile along with additional information for Minnesota Specialty Health Systems-brainerd, a provider established in Brainerd, Minnesota operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1609154178 assigned on August 2011. The practitioner's primary taxonomy code is 320800000X with license number 353355 (MN). The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Lynn Glancey (Chief Financial Officer)

NPI
1609154178
Provider Name
MINNESOTA SPECIALTY HEALTH SYSTEMS-BRAINERD
Entity Type
Organization
Location Address
11615 STATE AVE BRAINERD, MN 56401
Location Phone
(218) 828-2718
Location Fax
(218) 828-2569
Mailing Address
3200 LABORE RD. SUITE 104 VADNAIS HEIGHTS, MN 55110
Mailing Phone
(651) 539-7200
Mailing Fax
(218) 828-2569
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2011
Last Update Date
01-07-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
353355
License State
MN
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LYNN GLANCEY

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(651) 539-7200

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609154178, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 2 + 5 + 8 + 1 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1609154178.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Rehabilitation Hospital
11615 STATE AVE
BRAINERD, MN 56401
Social Worker (Clinical)
11615 STATE AVE
BRAINERD, MN 56401
Counselor (Mental Health)
11615 STATE AVE
BRAINERD, MN 56401
Social Worker (Clinical)
11615 STATE AVE
BRAINERD, MN 56401
Counselor (Mental Health)
11615 STATE AVE
BRAINERD, MN 56401
Nurse Practitioner (Psychiatric/Mental Health)
11615 STATE AVE
BRAINERD, MN 56401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609154178, enumerated as an "organization" on August 01, 2011.

The provider is located at 11615 STATE AVE BRAINERD, MN 56401 and the phone number is (218) 828-2718.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.