NORTHERN TRANQUILITY MENTAL HEALTH SERVICES
NPI 1700469640
Community/Behavioral Health in Chisholm, MN

Active since April 29, 2021
12 W LAKE ST, CHISHOLM, MN 55719(218) 296-0688(844) 921-1071 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2024, Aug 13, 2021, Apr 29, 2021 (3 updates tracked since 2021).

About Northern Tranquility Mental Health Services NPPES

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

NORTHERN TRANQUILITY MENTAL HEALTH SERVICES (NPI 1700469640) is a healthcare organization registered as a community/behavioral health in Chisholm, Minnesota and active in the NPI registry since April 2021. The organization lists Melissa Sue Brusacoram, Owner, Ceo, Aprn-cnp, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1700469640
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTHERN TRANQUILITY MENTAL HEALTH SERVICES
Location Address12 W LAKE STChisholm, MN 55719-1817
Mailing Address12 W Lake StChisholm, MN 55719-1817 · (218) 254-0101 · Fax (844) 921-1071
Fax(844) 921-1071
Organization SubpartNo
Authorized OfficialMelissa Sue BrusacoramOwner, Ceo, Aprn-cnp, Pmhnp-bc · (218) 254-0101
Enumeration DateApril 29, 2021
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1700469640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
12 W LAKE ST, Chisholm, MN 55719

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
12 W LAKE ST
CHISHOLM, MN 55719
Nurse Practitioner (Psychiatric/Mental Health)
12 W LAKE ST
CHISHOLM, MN 55719

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 Northern Tranquility Mental Health Services's NPI number?

The NPI number for Northern Tranquility Mental Health Services is 1700469640. It was assigned to this organization in the NPPES registry on April 29, 2021.

Where is Northern Tranquility Mental Health Services located?

Northern Tranquility Mental Health Services is located at 12 W Lake St, Chisholm, MN 55719. The listed phone number is (218) 296-0688.

What is Northern Tranquility Mental Health Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Northern Tranquility Mental Health Services accept?

Health plans from HealthPartners and Sanford Health Plan list Northern Tranquility Mental Health 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 Northern Tranquility Mental Health Services was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.