Northeast Behavioral Health Clinic
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Forks, ND
NPI 1366496341 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1366496341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- NORTHEAST BEHAVIORAL HEALTH CLINIC
- Practice address
- 151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715 - Phone
- (701) 795-3000
- Fax
- (701) 795-3050
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Donna Aukland
- Title
- Assistant Cfo - DHS
- Phone
- (701) 328-4924
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 3
Practitioners 79
-
Ella Davis, LMSW
-
Nicole Lynn Erasmus, MSW, LICSW
-
Desiree Joanne Gagner-Tjellesen, RNCS,APRN,BC
-
Joni Heine, LICSW
-
Patricia C Hettwer, LCSW
-
Rose J. Julius, DO
-
Darla Jean Mork, LCSW
-
Cynthia Morris, MSW, LMSW
-
Andrew Rohrich, LAC
-
Jeremy Leon Schmaltz, LPCC
-
Christopher W Solem, LAC, LPC,LAPC
-
Diane Soli, LCSW
-
Casandra Anne Stanley, LICSW
-
Kathryn M. Tevington, M.D.
-
Rebecca E Pihl, LPCC
-
Melony Ray Sanford, M. ED. LPCC
-
Yawar Abbas, MD
-
Jessica Rose Bodine, LAC
-
Michael Capan, M.D.
-
Tarah E Cavett, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040729000033 | ND | Part B Supplier - Clinic/Group Practice | 1658341441 |
Receives reassigned benefits from 77 practitioners 1 other NPI on this enrollment Practice locations: Grand Forks, ND |
National Provider Directory
- Tax ID family
- Northeast Behavioral Health Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 1049 | ND |
Addresses
Primary practice location
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Mailing address
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242001 | Other | ND | BCBS ND PROV # |
| CI4039 | Other | ND | RAILROAD MEDICARE # |
| 054519 | Medicaid | ND | |
| 90963NO | Other | ND | BCBS OF MN PROV # |
Other providers in Grand Forks, ND
- Parker Nordstrom
- Sherman Normandin
- North Dakota Eye Clinic, LTD
- North Dakota Eye Clinic, LTD
- North Dakota Surgery Center, LLC
- Northeast Behavioral Health Clinic
- Northeast Human Service Center
- Northeast Human Service Center
- Northern Natural Medicine PLLC
- Northern Plains Dental P.C.
All providers in Grand Forks, ND · Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.