CENTRAL MN RECEIVING & REFERRAL
NPI 1629190764
Substance Abuse Rehabilitation Facility in Saint Cloud, MN

NPI Status: Active since April 06, 2007

Contact Information

1321 13TH ST N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-6654
Fax: (320) 529-1975

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance

About CENTRAL MN RECEIVING & REFERRAL

This page provides the complete NPI Profile along with additional information for Central Mn Receiving & Referral, a provider established in Saint Cloud, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1629190764 assigned on April 2007. The practitioner's primary taxonomy code is 324500000X with license number 804852-1-DS (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. Central Mn Receiving & Referral operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Central Mn Receiving & Referral. The authorized official of this NPI record is David Baraga Ph.d, Lp (Executive Director)

NPI
1629190764
Provider Legal Name
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Other Organization Name
CENTRAL MN RECEIVING & REFERRAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1321 13TH ST N SAINT CLOUD, MN 56303
Location Phone
(320) 252-6654
Location Fax
(320) 529-1975
Mailing Address
1321 13TH ST N SAINT CLOUD, MN 56303
Mailing Phone
(320) 252-5010
Mailing Fax
(320) 529-1975
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2007
Last Update Date
12-20-2010
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
804852-1-DS
License State
MN
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

804852-1-DS (MN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DAVID BARAGA PH.D, LP

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(320) 202-2033

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
804852-1-DSOTHER (01)MNDHS LICENSE NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629190764
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649290712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 9 + 0 + 7 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1629190764 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831177195CENTRAL MINNESOTA MENTAL HEALTH CENTER
Organization
Counselor (Mental Health)1321 13TH ST N
SAINT CLOUD, MN 56303
(320) 252-5010
1265474613MR. RICHARD E FINGARSON MSW LICSW LMFT
Individual
Marriage & Family Therapist1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1447292743MR. GARY MICHAEL SIMPSON MSW LICSW
Individual
Social Worker1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1700829991MS. MARINA E BAHMER CNS APRN BC
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1346284205MS. CATHERINE A LAGOW MS LP
Individual
Psychologist1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1073557955MS. KATHRYN J ANDREWS MS LP
Individual
Psychologist1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1982648887MR. MARK C BORDEWICK PHD LP
Individual
Psychologist1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1578509519MS. BARBARA L KLEIN MS LICSW
Individual
Social Worker1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1487690426MR. ROGER P HANDRICH MD
Individual
Psychiatry & Neurology (Psychiatry)1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1295771236MR. JOHN M EGGERS PHD LP
Individual
Psychologist1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1679519789MR. DAVID JOHN BARAGA PH D LP
Individual
Psychologist1321 13TH ST N
SAINT CLOUD, MN 56303
(320) 252-5010
1396771531MR. THOMAS RUSSELL AUSTAD BS LADC
Individual
Counselor (Addiction (Substance Use Disorder))1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1407883390MR. WALTER JAMES STEINER JR. LADC
Individual
Counselor (Addiction (Substance Use Disorder))1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1073522777MS. CHARLOTTE ANN ROEBER NP
Individual
Nurse Practitioner (Adult Health)1321 13TH ST N
SAINT CLOUD, MN 56303
(320) 252-5010
1164521621MS. SARAH J PICKENS MS LAMFT
Individual
Psychologist1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1932279940 CASSANDRA LOU MOE LADC
Individual
Counselor (Addiction (Substance Use Disorder))1321 13TH ST N
ST CLOUD, MN 56303
(320) 292-5010
1548322886 KATHERINE ANN OMLID LADC
Individual
Counselor (Addiction (Substance Use Disorder))1321 13TH ST N
SAINT CLOUD, MN 56303
(320) 202-2006
1992850069 MARY J LINN MS LP
Individual
Psychologist1321 13TH ST N
ST CLOUD, MN 56303
(320) 252-5010
1881716025CENTRAL MINNESOTA MENTAL HEALTH CENTER
Organization
Counselor (Addiction (Substance Use Disorder))1321 13TH ST N
SAINT CLOUD, MN 56303
(320) 252-5010
1699898387CENTRAL MINNESOTA MENTAL HEALTH CENTER
Organization
Counselor (Mental Health)1321 13TH ST N
SAINT CLOUD, MN 56303
(320) 252-6654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629190764, enumerated in the NPI registry as an "organization" on April 06, 2007

The provider is located at 1321 13th St N Saint Cloud, Mn 56303 and the phone number is (320) 252-6654

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: HealthPartners, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.