MIDWEST MENTAL HEALTH
NPI 1710600028
Counselor - Addiction (Substance Use Disorder) in Fargo, ND
About Midwest Mental Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST MENTAL HEALTH (NPI 1710600028) is a healthcare organization registered as an addiction (substance use disorder) in Fargo, North Dakota and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Fargo and lists Jacqualine Kay Gervais, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 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)
Midwest Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Midwest Mental Health, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Midwest Mental Health Clinic PLLC's NPI number?
The NPI number for Midwest Mental Health Clinic PLLC is 1710600028. It was assigned to this organization in the NPPES registry on September 21, 2022. The provider is doing business as Midwest Mental Health.
Where is Midwest Mental Health Clinic PLLC located?
Midwest Mental Health Clinic PLLC is located at 121 University Dr N, Fargo, ND 58102. The listed phone number is (701) 478-5808.
What is Midwest Mental Health Clinic PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Midwest Mental Health Clinic PLLC enrolled in Medicare?
Yes. Midwest Mental Health Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midwest Mental Health Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Midwest Mental Health Clinic PLLC. 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 Nurse Practitioner (8) and Clinical Social Worker (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Midwest Mental Health Clinic PLLC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Midwest Mental Health Clinic PLLC 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 Midwest Mental Health Clinic PLLC was last updated on June 27, 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.
# Midwest Mental Health · NPI 1710600028
Addiction (Substance Use Disorder) organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since September 21, 2022.
## Identity
- **NPI:** 1710600028 (Entity type: Organization)
- **Enumerated:** September 21, 2022
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Legal business name:** Midwest Mental Health Clinic Pllc
- **Organization subpart:** Yes (part of Midwest Mental Health Clinic Pllc)
- **Authorized official:** Jacqualine Gervais, PRESIDENT/OWNER
## Practice location
- **Address:** 121 UNIVERSITY DR N, Fargo, ND 58102-4631
- **Phone:** (701) 478-5808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Clinical Social Worker (1); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710600028) · Data from the CMS NPPES public registry.