Minnesota Specialty Health Systems-Wadena

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1058768-1-RMI Issued in MN

Legal business name

MINNESOTA SPECIALTY HEALTH SYSTEMS-WADENA

Practice address

240 Shady Lane Dr
Wadena, MN 56482-3093

Phone

(218) 319-6001

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Lynn Glancey

Title

Chief Financial Officer

Phone

(651) 539-7200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Brooke Martinez, M.S. LMFT

  • Marriage & Family Therapist
  • Wadena, MN
  • NPI 1245771633
  NPD (past)
• Jennifer Morrell, MA

  • Marriage & Family Therapist
  • Wadena, MN
  • NPI 1962174169
  NPD (past)

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1154626554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD",
            "address_2": "SUITE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186",
            "telephone_number": "651-539-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SHADY LANE DR",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564823093",
            "telephone_number": "218-319-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA SPECIALTY HEALTH SYSTEMS-WADENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "GLANCEY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "651-539-7200"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "1058768-1-RMI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Vision Centers Inc
• Joseph Alan Miller, OD
• Megan Miller, PHARMD
• Minnesota Eyecare Network, Inc.
• Minnesota Eyecare Network, Inc.
• Miracle Care
• Miracle Care
• Miracle Care Dmepos
• Miracle Care Staffing, LLC
• Brittnee Monson, LPCC

• Mental Illness Community Based Residential Treatment Facility in Wadena, MN
• Providers in Wadena, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.