NPIMap

Organization Active NPI

Residential Services of NE MN Inc.

  • Mental Health Counselor
  • Duluth, MN
National Provider Identifier
1821150236
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESIDENTIAL SERVICES OF NE MN INC.
Practice address
2900 Piedmont Ave
Duluth, MN 55811-2915
Phone
(218) 727-2696
Fax
(218) 727-2893
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Tuyet Vu
Title
Financial Director
Phone
(218) 740-7628

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X

Addresses

Primary practice location

2900 Piedmont Ave
Duluth, MN 55811-2915

Mailing address

2900 Piedmont Ave
Duluth, MN 55811-2915
Phone (218) 727-2696

Other identifiers 1

IdentifierTypeStateIssuer
1821150236MedicaidMN

Other names 1

  • RSI Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140715000349 MN Part B Supplier - Clinic/Group Practice 2062637663 Receives reassigned benefits from 2 practitioners
Practice locations: Duluth, MN; Virginia, MN

National Provider Directory

National Provider Directory
Tax ID family
Residential Services of NE MN Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1309 Rice Lake Rd
Duluth, MN 55811
Phone (218) 727-2696

108 S 5th Ave
Virginia, MN 55792
Phone (218) 749-3316

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1821150236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PIEDMONT AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112915",
            "telephone_number": "218-727-2696",
            "fax_number": "218-727-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PIEDMONT AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112915",
            "telephone_number": "218-727-2696",
            "fax_number": "218-727-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL SERVICES OF NE MN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TUYET",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "218-740-7628"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821150236",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RSI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "RSI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 14, 2023; 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.