NPIMap

Organization Active NPI

Accend Services Incorporated

  • Adult Mental Health Clinic/Center
  • Duluth, MN
National Provider Identifier
1417023458
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ACCEND SERVICES INCORPORATED
Practice address
101 W 2ND St Ste 200
Duluth, MN 55802-5004
Phone
(218) 724-3122
Fax
(833) 933-0639
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Mr. Michael J Clevette
Title
President
Phone
(218) 391-7129

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X 06443 MN
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

101 W 2ND St Ste 200
Duluth, MN 55802-5004

Mailing address

101 W 2ND St Ste 200
Duluth, MN 55802-5004
Phone (218) 724-3122

Other practice location 1

115 7th St
Two Harbors, MN 55616-1528
Phone (218) 834-6005

Other practice location 2

1312 2nd St NE
Minneapolis, MN 55413-1132
Phone (612) 839-9386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070430000468 MN Part B Supplier - Clinic/Group Practice 8224134739 Receives reassigned benefits from 5 practitioners
Practice locations: Duluth, MN; Two Harbors, MN; Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

101 W 2nd St
Ste 200
Duluth, MN 55802
Phone (218) 724-3122

1522 E Superior St
Duluth, MN 55812
Phone (218) 391-3215

101 W 2nd St
Ste 204
Duluth, MN 55802
Phone (218) 724-3122

520 South Ave
Two Harbors, MN 55616
Phone (218) 724-3122

Practitioners & affiliated clinicians

Practitioners 89

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

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1417023458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 2ND ST STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025004",
            "telephone_number": "218-724-3122",
            "fax_number": "833-933-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 2ND ST STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025004",
            "telephone_number": "218-724-3122",
            "fax_number": "833-933-0639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 7th St",
            "address_purpose": "LOCATION",
            "city": "Two Harbors",
            "state": "MN",
            "postal_code": "556161528",
            "country_code": "US",
            "telephone_number": "218-834-6005",
            "fax_number": "833-933-0639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 2nd St NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554131132",
            "country_code": "US",
            "telephone_number": "612-839-9386",
            "fax_number": "833-933-0639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCEND SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "CLEVETTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-391-7129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "06443",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 25, 2024; 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.