NPIMap

Organization Active NPI

Northstar Community Services LLC

  • Social Worker
  • Cloquet, MN
National Provider Identifier
1740938430
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
NORTHSTAR COMMUNITY SERVICES LLC
Practice address
30 N 10 TH St.
Cloquet, MN 55720
Phone
(218) 626-5175
Fax
(218) 879-2696
NPI assigned
Mar 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Mrs. Heather Lea Wright, LGSWNPI 1215405063
Title
President
Phone
(218) 626-5175

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

30 N 10 TH St.
Cloquet, MN 55720

Mailing address

PO Box 189
Cloquet, MN 55720
Phone (218) 626-5175

Other identifiers 1

IdentifierTypeStateIssuer
1508626250OtherMNMEGAN ROBINSON, OTR/L NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808000131 MN Part B Supplier - Clinic/Group Practice 6204297286 Receives reassigned benefits from 2 practitioners
Practice locations: Duluth, MN; Barnum, MN; Cloquet, MN

National Provider Directory

National Provider Directory

Locations

1804 Cloquet Ave
Cloquet, MN 55720
Phone (218) 600-5303

30 N 10th St
Cloquet, MN 55720
Phone (218) 879-4511

130 W Superior St
Ste 610
Duluth, MN 55802
Phone (218) 879-2119

Practitioners & affiliated clinicians

Practitioners 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1740938430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "55720",
            "telephone_number": "218-626-5175",
            "fax_number": "218-879-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 10 TH ST.",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "55720",
            "telephone_number": "218-626-5175",
            "fax_number": "218-879-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-626-5175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEGAN ROBINSON, OTR/L NPI",
            "identifier": "1508626250",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.