NPIMap

Organization Active NPI

Upper Mississippi Mental Health Centere

  • Community/Behavioral Health Agency
  • Bemidji, MN
National Provider Identifier
1144301870
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
893 Issued in MN
Legal business name
UPPER MISSISSIPPI MENTAL HEALTH CENTERE
Practice address
722 15TH Street
Bemidji, MN 56619-0640
Phone
(218) 751-3280
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rebecca Carol Secore, LMFT
Title
Program Coordinator/Family Based
Phone
(218) 751-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 893 MN Primary

Addresses

Primary practice location

722 15TH Street
Bemidji, MN 56619-0640

Mailing address

722 15TH Street
Bemidji, MN 56619-0640
Phone (218) 751-3280

National Provider Directory

National Provider Directory
Tax ID family
Upper Mississippi Mental Health Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144301870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 15TH STREET",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566190640",
            "telephone_number": "218-751-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 15TH STREET",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566190640",
            "telephone_number": "218-751-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MISSISSIPPI MENTAL HEALTH CENTERE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SECORE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR/FAMILY BASED",
        "authorized_official_telephone_number": "218-751-3290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "893",
            "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 Aug 22, 2020; 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.