Organization Active NPI

Upnorth Mental Health L.L.C

  • Mental Health Counselor
  • Bemidji, MN
National Provider Identifier
1093422727
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UPNORTH MENTAL HEALTH L.L.C
Practice address
1900 Division St W Unit 6
Bemidji, MN 56601-6397
Phone
(218) 766-5133
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Ammie Lynn Klein, LICSWNPI 1558871319
Title
Mental Health Therapist
Phone
(218) 766-5133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1900 Division St W Unit 6
Bemidji, MN 56601-6397

Mailing address

49269 317TH Ave
Cass Lake, MN 56633-2996
Phone (218) 766-5133

National Provider Directory

National Provider Directory

Locations

1900 Division St W
Unit 6
Bemidji, MN 56601
Phone (218) 766-5133

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1093422727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49269 317TH AVE",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566332996",
            "telephone_number": "218-766-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DIVISION ST W UNIT 6",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016397",
            "telephone_number": "218-766-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPNORTH MENTAL HEALTH L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "AMMIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "218-766-5133",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.