Individual provider Active NPI

Mark D Hunt, MA, LPCC

  • Professional Counselor
  • Cloquet, MN
National Provider Identifier
1629558374
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1547 Issued in MN
Practice address
40 11TH St
Cloquet, MN 55720-1817
Phone
(218) 879-4559
Fax
(218) 879-0282
NPI assigned
Aug 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304373 MN
Professional Counselor 101YP2500X 1547 MN Primary

Addresses

Primary practice location

40 11TH St
Cloquet, MN 55720-1817

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227001145 MN Practitioner - Mental Health Counselor 7214387661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Human Development CenterGroup PAC ID 2961485909, 39 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
304373MNMDAddiction (Substance Use Disorder) Counselor
1547MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightwater Health Dba Human Development Center Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Brightwater Health Dba Human Development Center PastSince Jan 1, 2024 Accepting new patients

Locations

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

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

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

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

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

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1629558374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 EAST 1ST STREET",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052407",
            "telephone_number": "218-728-4491",
            "fax_number": "218-730-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 11TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201817",
            "telephone_number": "218-879-4559",
            "fax_number": "218-879-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304373",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.