Up North Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

UP NORTH THERAPY

Practice address

12 Lee Cir
Silver Bay, MN 55614-1107

Phone

(218) 220-9699

NPI assigned

Dec 28, 2020

Organization subpart

No

Name

Ashley L Belanger, LPCCNPI 1346738952

Title

Owner

Phone

(218) 220-9699

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

• Ashley L Belanger, MA

  • Professional Counselor
  • Duluth, MN
  • NPI 1346738952
  Medicare reassignment Care Compare group NPD Authorized official MN
• Debbie Stone Nelson, LCSW

  • Clinical Social Worker
  • Naples, FL
  • NPI 1215331178
  Medicare reassignment Care Compare group NPD MN
• Lydia Walker-Thoennes, LPCC

  • Professional Counselor
  • Duluth, MN
  • NPI 1336639137
  Medicare reassignment NPD MN
• Andrea Nelson, MSW, LCSW

  • Clinical Social Worker
  • Superior, WI
  • NPI 1427441104
  Medicare reassignment NPD MN

Medicare fee-for-service enrollment

Enrolled in MN

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2020.

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1154918951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LEE CIR",
            "city": "SILVER BAY",
            "state": "MN",
            "postal_code": "556141107",
            "telephone_number": "218-220-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LEE CIR",
            "city": "SILVER BAY",
            "state": "MN",
            "postal_code": "556141107",
            "telephone_number": "218-220-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-220-9699",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Minnesota Minnesota Management and Budget
• State of Minnesota-Minnesota Management and Budget
• The Duluth Clinic, LTD
• Rebecca Truwe
• Mindy Tuorila
• Codi Lyn Warnecke, RN
• Daniel R Waxlax, PHARMACIST

• All providers in Silver Bay, MN
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.