NPIMap

Organization Active NPI

Brightwater Health Dba Human Development Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
National Provider Identifier
1194790733
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRIGHTWATER HEALTH DBA HUMAN DEVELOPMENT CENTER
Practice address
1401 E 1St St
Duluth, MN 55805-2407
Phone
(218) 728-4491
Fax
(218) 728-4404
NPI assigned
Feb 17, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

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
Mr. Benjamin Hatfield, MSW, LICSW, LADCNPI 1083993299
Title
Chief Executive Director
Phone
(218) 728-4491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1401 E 1St St
Duluth, MN 55805-2407

Mailing address

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

Other practice location 1

40 11th St
Cloquet, MN 55720-1817
Phone (218) 879-4559

Other practice location 2

810 E 4th St
Duluth, MN 55805-2147
Phone (218) 728-4491

Other practice location 3

4720 Burning Tree Rd
Duluth, MN 55811-2634
Phone (218) 740-5300

Other practice location 4

1102 Cloquet Ave
Cloquet, MN 55720-1620
Phone (218) 879-4559

Other practice location 5

325 11th Ave
Two Harbors, MN 55616-1300
Phone (218) 834-5520

Other practice location 6

120 W 2nd St
Duluth, MN 55802-2017
Phone (218) 728-4491

Other identifiers 1

IdentifierTypeStateIssuer
744755800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040610000602 MN Part B Supplier - Clinic/Group Practice 2961485909 Receives reassigned benefits from 72 practitioners
Practice locations: Duluth, MN; Grand Marais, MN; Grand Portage, MN; Moose Lake, MN; Mora, MN; Proctor, MN; Silver Bay, MN; Two Harbors, MN…
O20080410000612 WI Part B Supplier - Clinic/Group Practice 2961485909 Receives reassigned benefits from 3 practitioners
Practice locations: Superior, WI

National Provider Directory

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

Other organizations with this tax ID 6

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

Locations

3813 E North St
Barnum, MN 55707
Phone (218) 879-4559

4723 Nygaard Rd
Brookston, MN 55711
Phone (218) 878-0642

810 3rd St
Ste 102
Carlton, MN 55718
Phone (218) 384-4106

1000 18th St
Cloquet, MN 55720
Phone (218) 879-4559

1102 Cloquet Ave
Cloquet, MN 55720
Phone (218) 499-7000

120 W 2nd St
Duluth, MN 55802
Phone (218) 728-4491

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

1402 E 2nd St
Duluth, MN 55805
Phone (218) 728-5101

1918 N Arlington Ave
Duluth, MN 55811
Phone (218) 625-6700

2000 Rice Lake Rd
Duluth, MN 55811

221 N 1st Ave W
Duluth, MN 55806
Phone (218) 725-7785

2221 N Arlington Ave
Duluth, MN 55811
Phone (218) 722-1501

3116 E Superior St
Duluth, MN 55812

4720 Burning Tree Rd
Duluth, MN 55811
Phone (218) 623-1800

5207 N Tischer Rd
Duluth, MN 55804

5300 Glenwood St
Duluth, MN 55804

715 101st Ave W
Duluth, MN 55808

101 W 5th St
Grand Marais, MN 55604
Phone (218) 387-2271

905 Forest Ave E
Mora, MN 55051
Phone (320) 679-6353

99 Edison Blvd
Silver Bay, MN 55614
Phone (218) 226-3190

613 3rd Ave
Two Harbors, MN 55616
Phone (218) 834-5520

629 1st Ave
Two Harbors, MN 55616
Phone (218) 834-5520

806 13th Ave
Two Harbors, MN 55616
Phone (218) 834-7304

Practitioners & affiliated clinicians

Practitioners 129

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 129

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1194790733",
    "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": "218-728-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052407",
            "telephone_number": "218-728-4491",
            "fax_number": "218-728-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 11th St",
            "address_purpose": "LOCATION",
            "city": "Cloquet",
            "state": "MN",
            "postal_code": "557201817",
            "country_code": "US",
            "telephone_number": "218-879-4559",
            "fax_number": "218-879-0282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558052147",
            "country_code": "US",
            "telephone_number": "218-728-4491",
            "fax_number": "218-302-8698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Burning Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558112634",
            "country_code": "US",
            "telephone_number": "218-740-5300",
            "fax_number": "218-740-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Cloquet Ave",
            "address_purpose": "LOCATION",
            "city": "Cloquet",
            "state": "MN",
            "postal_code": "557201620",
            "country_code": "US",
            "telephone_number": "218-879-4559",
            "fax_number": "218-879-0282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Two Harbors",
            "state": "MN",
            "postal_code": "556161300",
            "country_code": "US",
            "telephone_number": "218-834-5520",
            "fax_number": "218-834-4264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558022017",
            "country_code": "US",
            "telephone_number": "218-728-4491",
            "fax_number": "218-302-8698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTWATER HEALTH DBA HUMAN DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-728-4491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744755800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, 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.
  • 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.