NORTHEAST YOUTH & FAMILY SERVICES
NPI 1639275852
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shoreview, MN
About Northeast Youth & Family Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST YOUTH & FAMILY SERVICES (NPI 1639275852) is a healthcare organization registered as a mental health (including community mental health center) in Shoreview, Minnesota and active in the NPI registry since September 2006. The organization lists Angela K Lewis-dmello, Licsw, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Youth & Family Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Northeast Youth & Family Services, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (12)
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 Northeast Youth & Family Services's NPI number?
The NPI number for Northeast Youth & Family Services is 1639275852. It was assigned to this organization in the NPPES registry on September 15, 2006.
Where is Northeast Youth & Family Services located?
Northeast Youth & Family Services is located at 3490 Lexington Ave N Suite 205, Shoreview, MN 55126. The listed phone number is (651) 486-3808.
What is Northeast Youth & Family Services'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 Youth & Family Services enrolled in Medicare?
Yes. Northeast Youth & Family Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Youth & Family Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeast Youth & Family Services. 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 (7), Marriage and Family Therapist (2) and Clinical Psychologist (1). Of these, 4 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeast Youth & Family Services accept?
Health plans from HealthPartners list Northeast Youth & Family Services 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 Youth & Family Services was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Northeast Youth & Family Services · NPI 1639275852
Mental Health (Including Community Mental Health Center) organization in Shoreview, Minnesota. Organization record, active in the CMS NPPES registry since September 15, 2006.
## Identity
- **NPI:** 1639275852 (Entity type: Organization)
- **Enumerated:** September 15, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Angela Lewis-Dmello, LICSW
## Practice location
- **Address:** 3490 LEXINGTON AVE N, SUITE 205, Shoreview, MN 55126-8074
- **Phone:** (651) 486-3808 · **Fax:** (651) 486-3858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (7), Marriage and Family Therapist (2), Clinical Psychologist (1); 4 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2026
- **Other identifiers:** Medicaid 355355800 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639275852) · Data from the CMS NPPES public registry.