Individual provider Active NPI

Colin Michael Heglund, M.A., LP

  • Clinical Psychologist
  • Bemidji, MN
National Provider Identifier
1154511905
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5248 Issued in MN
Practice address
4225 Technology Dr NW
Bemidji, MN 56601-5118
Phone
(218) 751-0282
Fax
(218) 751-0870
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP5248 MN Primary

Addresses

Primary practice location

4225 Technology Dr NW
Bemidji, MN 56601-5118

Mailing address

1741 15TH St NW
PO Box 744
Bemidji, MN 56601-8755
Phone (218) 751-6553

Other practice location 1

1741 15th St NW
Bemidji, MN 56601-8755
Phone (218) 751-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119000245 MN Practitioner - Clinical Psychologist 7810119237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Homes Inc.Group PAC ID 0648279554, 7 clinicians

Practice addresses (Care Compare)

413 SE 13TH St
Grand Rapids, MN 55744-0015
Phone (218) 999-9908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LP5248MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Homes, Inc Mental Health CurrentSince Oct 6, 2014 Accepting new patients

Locations

4225 Technology Dr NW
Bemidji, MN 56601
Phone (218) 751-0282

303 SE 1st St
Grand Rapids, MN 55744
Phone (218) 326-0349

413 SE 13th St
Grand Rapids, MN 55744
Phone (218) 327-3000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1154511905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 15TH ST NW",
            "address_2": "PO BOX 744",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018755",
            "telephone_number": "218-751-6553",
            "fax_number": "218-751-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 TECHNOLOGY DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015118",
            "telephone_number": "218-751-0282",
            "fax_number": "218-751-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566018755",
            "country_code": "US",
            "telephone_number": "218-751-6553",
            "fax_number": "218-751-1846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEGLUND",
        "first_name": "COLIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.A., LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.