VALHALLA PLACE, LLC
NPI 1801149505
Clinic/Center - Methadone in Brooklyn Park, MN

Q: What is Valhalla Place, LLC's NPI number?

The NPI number for Valhalla Place, LLC is 1801149505. It was assigned to this organization in the NPPES registry on October 18, 2012.

Q: What is Valhalla Place, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since October 18, 2012CLIA 24D2046651 · Waiver

2807 BROOKDALE DR, BROOKLYN PARK, MN 55444(651) 925-8200 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2024, Nov 18, 2024, Nov 16, 2016 (3 updates tracked since 2016).

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About Valhalla Place, Llc NPPES

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

VALHALLA PLACE, LLC (NPI 1801149505) is a healthcare organization registered as a methadone in Brooklyn Park, Minnesota and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through September 6, 2026 and lists Jay Higham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801149505

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameVALHALLA PLACE, LLC

Location Address2807 BROOKDALE DRBrooklyn Park, MN 55444-1844

Mailing Address6043 Hudson Rd, 220Woodbury, MN 55125-1018 · (651) 925-8200

Phone(651) 925-8200

Organization SubpartNo

Authorized OfficialJay HighamCeo · (214) 365-6112

Enumeration DateOctober 18, 2012

Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration

NPPES CertifiedDecember 23, 2024

✔ NPI 1801149505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in MN · 1063405

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 15731 (MN)

2807 BROOKDALE DR, Brooklyn Park, MN 55444

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Other Identifiers 1

Medicaid260163778MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 24D2046651

Valhalla Place, LLC Dba Bhg Brooklyn Park Treatment Ctr · Brooklyn Park, MN

Active · expires Sep 6, 2026

CLIA Number24D2046651

Laboratory TypeSubstance Use Treatment C

Certificate Effective DateSeptember 7, 2024

Certificate Expiration DateSeptember 6, 2026

Laboratory DirectorEvelyn Washington

Laboratory Phone(763) 237-9898

Laboratory LocationValhalla Place, LLC Dba Bhg Brooklyn Park Treatment Ctr2807 Brookdale Drive North, Brooklyn Park, MN 55444

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

1,917 services60 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

571 services48 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

43 services38 patients

Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) G2074

Medication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.

27 services19 patients

Other Providers at the Same Location NPPES 5

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

CRYSTAL J FORD LPCC

Counselor (Professional)