Organization Active NPI

Hidden Pines Mental Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MN
National Provider Identifier
1659269827
Registry record updated Jul 24, 2025
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
HIDDEN PINES MENTAL HEALTH, PLLC
Practice address
28752 Hidden Point TRL
Grand Rapids, MN 55744-5819
Phone
(218) 750-0922
NPI assigned
Jun 26, 2025
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Jessica Joyce Colter, MSW, LICSWNPI 1801554944
Title
President/Sole Member
Phone
(218) 750-0922

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

28752 Hidden Point TRL
Grand Rapids, MN 55744-5819

Mailing address

28752 Hidden Point TRL
Grand Rapids, MN 55744-5819
Phone (218) 750-0922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016002835 MN Part B Supplier - Clinic/Group Practice 0840787438 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MN

National Provider Directory

National Provider Directory

Locations

111 Golf Course Rd
Ste 4
Grand Rapids, MN 55744
Phone (218) 750-0922

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1659269827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28752 HIDDEN POINT TRL",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557445819",
            "telephone_number": "218-750-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28752 HIDDEN POINT TRL",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557445819",
            "telephone_number": "218-750-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN PINES MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "COLTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT/SOLE MEMBER",
        "authorized_official_telephone_number": "218-750-0922",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.