| Northeast Human Service Center | |
|
151 S 4th St Suite 401 Grand Forks ND 58201-4715 | |
| (701) 795-3000 | |
| (701) 795-3050 |
| Full Name | Northeast Human Service Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 151 S 4th St, Grand Forks, North Dakota |
| Authorized Official Name and Position | Donna Aukland (ASSISTANT CFO - DHS) |
| Authorized Official Contact | 7013284924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Human Service Center 151 S 4th St Suite 401 Grand Forks ND 58201-4715 Ph: (701) 795-3000 | Northeast Human Service Center 151 S 4th St Suite 401 Grand Forks ND 58201-4715 Ph: (701) 795-3000 |
| NPI Number | 1366496341 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Medicare PECOS PAC ID | 1658341441 |
|---|---|
| Medicare Enrollment ID | O20040729000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366496341 | NPI | - | NPPES |
| 242001 | Other | ND | BCBS ND PROV # |
| CI4039 | Other | ND | RAILROAD MEDICARE # |
| 054519 | Medicaid | ND | |
| 90963NO | Other | ND | BCBS OF MN PROV # |
| Provider Name | Patrick B Goodman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962500694 PECOS PAC ID: 2769387661 Enrollment ID: I20031204000162 |
| Provider Name | Donald E Newberry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679512537 PECOS PAC ID: 3678569704 Enrollment ID: I20040422001625 |
| Provider Name | Laura B Schield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124064431 PECOS PAC ID: 7618966326 Enrollment ID: I20040508000065 |
| Provider Name | Michael P Capan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689728818 PECOS PAC ID: 2163495615 Enrollment ID: I20040813000833 |
| Provider Name | Jerrica L Sauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942390315 PECOS PAC ID: 2668575937 Enrollment ID: I20070307000588 |
| Provider Name | Kathryn M Tevington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285770081 PECOS PAC ID: 6901909944 Enrollment ID: I20070313000438 |
| Provider Name | Maria De Robles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145309 PECOS PAC ID: 1557447760 Enrollment ID: I20080328000323 |
| Provider Name | Beth M Hemming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326087107 PECOS PAC ID: 0042374159 Enrollment ID: I20090203000696 |
| Provider Name | Desiree J Gagner-tjellesen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518906437 PECOS PAC ID: 7416092739 Enrollment ID: I20100310000897 |
| Provider Name | Joni M Heine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598708273 PECOS PAC ID: 0648308148 Enrollment ID: I20100504000222 |
| Provider Name | Lori J Esprit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548572688 PECOS PAC ID: 4587844592 Enrollment ID: I20110208001024 |
| Provider Name | Stacey L Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497812341 PECOS PAC ID: 6204076128 Enrollment ID: I20130717000152 |
| Provider Name | Stephanie A Jallen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245541895 PECOS PAC ID: 7810126562 Enrollment ID: I20150903002560 |
| Provider Name | Noelle K Riehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600251 PECOS PAC ID: 5092012021 Enrollment ID: I20160318000611 |
| Provider Name | Melissa Quincer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801231048 PECOS PAC ID: 4082987698 Enrollment ID: I20170901002142 |
| Provider Name | Nicole L Erasmus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881986180 PECOS PAC ID: 6002172723 Enrollment ID: I20171114001673 |
| Provider Name | Sara L Suda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447603832 PECOS PAC ID: 6002175940 Enrollment ID: I20180122001958 |
| Provider Name | Rose J Julius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316101074 PECOS PAC ID: 8123212545 Enrollment ID: I20180131002388 |
| Provider Name | Winonah Monette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477931806 PECOS PAC ID: 3779844469 Enrollment ID: I20180220001861 |
| Provider Name | Tracy Anne Kressin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265922009 PECOS PAC ID: 4385909688 Enrollment ID: I20180606003108 |
| Provider Name | Avery R Luft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053823294 PECOS PAC ID: 8921356866 Enrollment ID: I20180808003199 |
| Provider Name | Casandra A Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487028932 PECOS PAC ID: 1951642065 Enrollment ID: I20190417001887 |
| Provider Name | Angela S Niffenegger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255508859 PECOS PAC ID: 4284975392 Enrollment ID: I20190417002047 |
| Provider Name | Jennifer L Lusinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003314196 PECOS PAC ID: 1951714096 Enrollment ID: I20210108000713 |
| Provider Name | Allison R Samuelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700410305 PECOS PAC ID: 7416340781 Enrollment ID: I20220209000774 |
| Provider Name | Susan Wade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346614120 PECOS PAC ID: 5698143535 Enrollment ID: I20221123002762 |
| Provider Name | Kejon L Cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619309291 PECOS PAC ID: 7416327929 Enrollment ID: I20221227002375 |
| Provider Name | Amanda M Havelange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124677406 PECOS PAC ID: 9436515178 Enrollment ID: I20230522003152 |
| Provider Name | Anna M Rehwinkel-morfe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912265208 PECOS PAC ID: 3971887738 Enrollment ID: I20230620002676 |
| Provider Name | Sadiah N Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871087767 PECOS PAC ID: 5597165613 Enrollment ID: I20231102002110 |
| Provider Name | Christina Hemmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508204421 PECOS PAC ID: 8224471883 Enrollment ID: I20240210000421 |
| Provider Name | Melony Ray Sanford |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1811408974 PECOS PAC ID: 5991148470 Enrollment ID: I20240212003728 |
| Provider Name | Sarah L Kaiser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841696523 PECOS PAC ID: 5092150425 Enrollment ID: I20240226001662 |
| Provider Name | John J Butgereit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629492715 PECOS PAC ID: 2961847603 Enrollment ID: I20240304002307 |
| Provider Name | Tarah E Cavett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922253954 PECOS PAC ID: 3577909076 Enrollment ID: I20240306003838 |
Family Institute, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
Center For Psychiatric Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Unit A, Grand Forks, ND 58201 Phone: 701-732-2500 Fax: 701-732-2501 | |
Lipp, Carlson, Witucki & Associates, Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2808 17th Ave S, Grand Forks, ND 58201 Phone: 701-746-8376 Fax: 701-746-9872 | |
Woodnote Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1913 S Washington St, Grand Forks, ND 58201 Phone: 701-317-6590 | |
Down To Earth Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 24th Ave S, Grand Forks, ND 58201 Phone: 701-740-9040 | |
Development Homes, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 N 4th St, Grand Forks, ND 58203 Phone: 701-335-4013 | |
Harmony Haven Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 South 18th Street, Grand Forks, ND 58201 Phone: 701-620-9876 |