Community Support Systems, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY SUPPORT SYSTEMS, INC.

Doing business as

Hope House

Practice address

2014 7TH St SE
Bemidji, MN 56601-5051

Phone

(218) 444-6748

Fax

(218) 444-8664

NPI assigned

Apr 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Wold, MSW, LSW, CPRP

Title

Director

Phone

(218) 444-6748

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Hope House Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Community Support Systems, Inc.

  • Community/Behavioral Health Agency
  • Bemidji, MN
  • NPI 1588715775

  O20050926001107

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Kramer

  • Psychiatric/Mental Health Nurse Practitioner
  • Bemidji, MN
  • NPI 1972997831
  Medicare reassignment Care Compare group NPD
• Tami Dawn Lindell, DNP, FNP, GNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bemidji, MN
  • NPI 1033364245
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1023283538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1097",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566191097",
            "telephone_number": "218-444-6748",
            "fax_number": "218-444-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 7TH ST SE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015051",
            "telephone_number": "218-444-6748",
            "fax_number": "218-444-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-444-6748",
        "authorized_official_credential": "MSW, LSW, CPRP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188559600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795355100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "7H034CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "85D48HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cogent Healthcare of Minnesota, PC
• Staci Lynn Collison
• Mark E Colliton, MD
• Common Ground Integrative Health Inc
• Community Behavioral Health Hospital Bemidji
• Community Support Systems, Inc.
• Community Support Systems, Inc.
• Complete Health PC
• Adrian R Cook, PHARM D
• Melissa Cook, LICSW

• Community/Behavioral Health Agency in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.