NPIMap

Organization Active NPI

Brightwater Health Dba Human Development Center

  • Community/Behavioral Health Agency
  • Cloquet, MN
National Provider Identifier
1114048527
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8534482 Issued in MN
Legal business name
BRIGHTWATER HEALTH DBA HUMAN DEVELOPMENT CENTER
Practice address
40 11TH St
Cloquet, MN 55720-1817
Phone
(218) 879-4559
Fax
(218) 879-0282
NPI assigned
Apr 3, 2007
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIGHTWATER HEALTH DBA HUMAN DEVELOPMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Benjmain Hatfield, MSW, LICSW, LADC
Title
Chief Executive Director
Phone
(218) 728-4491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8534482 MN Primary

Addresses

Primary practice location

40 11TH St
Cloquet, MN 55720-1817

Mailing address

1401 E 1St St
Duluth, MN 55805-2407
Phone (218) 728-4491

Other identifiers 2

IdentifierTypeStateIssuer
648518900MedicaidMN
744755800MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Human Develpment Center7 organizations share this tax ID, including this one
Part of
Human Develpment Center

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

Practitioners & affiliated clinicians

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1114048527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052407",
            "telephone_number": "218-728-4491",
            "fax_number": "218-730-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 11TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201817",
            "telephone_number": "218-879-4559",
            "fax_number": "218-879-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWATER HEALTH DBA HUMAN DEVELOPMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTWATER HEALTH DBA HUMAN DEVELOPMENT CENTER",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "BENJMAIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-728-4491",
        "authorized_official_credential": "MSW, LICSW, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "8534482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648518900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744755800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.