Alluma, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Crookston, MN
NPI 1508835133 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1508835133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 8017741MHC (MN)
- Legal business name
- ALLUMA, INC.
- Practice address
- 603 Bruce St
Crookston, MN 56716 - Phone
- (218) 281-3940
- Fax
- (218) 281-6261
- NPI assigned
- Mar 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Shauna R Reitmeier, LGSW
- Title
- Chief Executive Officer
- Phone
- (218) 281-3940
Practitioners 58
-
Casandra Kay Anderson, LICSW
-
Michael Richard Anderson, LICSW
-
Janelle Lynn Doyle, LICSW
-
Amelia Marie Ganyo, M.A.
-
Christopher J Green, MSW, LICSW
-
Matthew Ryan Keller, MSW, LICSW
-
Molly Jean Kinney, LICSW
-
Shannon Lea Kronlund, LICSW
-
Paul O. Michels, MD
-
Kate Marie Overgaard, PMHNP-BC
-
Shauna R Reitmeier, LICSW
-
Thea L Rothmann, PH.D.
-
Carrie Serna, LPCC
-
Erika Marie Severson, LICSW
-
Abby Lynn Steer, MSW, LICSW
-
Valerie Wagner, LADC, LPCC
-
Lindsey Woolery, LADC, LPCC
-
Jawad Daud, M.D.
-
Nancy D Thompson, PMHNP
-
Cheri Lynn Ames, LICSW
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2206811 | Alluma, Inc | Certificate of waiver | Dec 21, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302000004 | MN | Part B Supplier - Clinic/Group Practice | 6709787609 |
Receives reassigned benefits from 42 practitioners Practice locations: Crookston, MN; East Grand Forks, MN |
National Provider Directory
Locations
603 Bruce St
Crookston, MN 56716
Phone (218) 281-3940
1424 Central Ave NE
Ste 142
East Grand Forks, MN 56721
Phone (218) 773-6102
1422 Central Ave NE
East Grand Forks, MN 56721
Phone (218) 773-6102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 8017741MHC | MN | Yes |
Addresses
Primary practice location
603 Bruce St
Crookston, MN 56716
Mailing address
603 Bruce Street
PO Box 603
Crookston, MN 56716-0603
Phone (218) 281-3940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054855300 | Medicaid | MN | |
| 93272 | Other | PREFERRED ONE | |
| CC6573 | Other | RAILROAD MEDICARE | |
| 116586 | Other | MN | UCARE MINNESOTA |
| 1520165 | Other | UBH MEDICA | |
| 63592NO | Other | MN | BCBS BHSI |
| 31167 | Other | HEALTH PARTNERS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CredibleBH.com | Health Information Exchange (HIE) |
Other providers in Crookston, MN
- Maen Abou-Ghaida
- Active Health Chiropractic
- Active Health Chiropractic PLLC
- Agassiz Optometry Associates PC
- Altru Health System
- Altru Health System
- Altru Health System Ambulatory Surgery Centers LLC
- Altru Specialty Services, Inc.
- Altru Specialty Services, Inc.
All providers in Crookston, MN · Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.