Organization Active NPI

Hennepin County

Doing business as NorthPoint Health & Wellness Center- Plymouth Youth Center

  • Student Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1831408988
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
HENNEPIN COUNTY
Doing business as
NorthPoint Health & Wellness Center- Plymouth Youth Center
Practice address
2210 Oliver Ave N
Minneapolis, MN 55411-1821
Phone
(612) 643-2001
NPI assigned
Oct 6, 2010
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HENNEPIN COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Baye D Diouf
Title
Chief Financial Officer
Phone
(612) 543-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

2210 Oliver Ave N
Minneapolis, MN 55411-1821

Mailing address

2220 Plymouth Ave N
Minneapolis, MN 55411-3600
Phone (612) 543-2500

Other names 1

  • NorthPoint Health & Wellness Center- Plymouth Youth Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110113000505 MN Part A Provider - Federally Qualified Health Center (FQHC) 7911892849 Practice locations: Minneapolis, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831408988. Details of each certification follow.

Federally qualified health center certification: CCN 241862

Legal name
HENNEPIN COUNTY
Doing business as
NORTHPOINT PYC CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 13, 2011
Last certification
Jan 13, 2011
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
2210 Oliver N Ave
Minneapolis, MN 55411-1821

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Part of
Hennepin Care - North

Locations

2210 Oliver Ave N
Minneapolis, MN 55411
Phone (612) 643-2001

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rochelle Clausen Individual W-2 Managing EmployeeMedical Clinic Manager Mar 1, 2007
Hennepin County Organization, Minneapolis, MN Operational/Managerial Control Nov 2, 2010
Brian J Bergs Individual Corporate OfficerCfo May 10, 2017
W-2 Managing EmployeeCfo May 10, 2017
Stella Whitney-West Individual Corporate Director Nov 2, 2010

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hennepin County Medical CenterMinneapolis, MN, CCN 240004 Hospital Operational/Managerial Control (100%) Nov 29, 2006
Hennepin County Medical CenterMinneapolis, MN, CCN 24T004 Hospital Operational/Managerial Control (100%) Nov 29, 2006
Hennepin County Medical CenterMinneapolis, MN, CCN 24S004 Hospital Operational/Managerial Control (100%) Nov 29, 2006
MvnaMinneapolis, MN, CCN 247008 Home health agency Operational/Managerial Control (100%) Nov 29, 2006
Hennepin CountyMinneapolis, MN, CCN 241801 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1990
Northpoint Health & Wellness CenterMinneapolis, MN, CCN 241861 Federally qualified health center Operational/Managerial Control Nov 2, 2010
Northpoint Olson Middle SchoolMinneapolis, MN, CCN 241869 Federally qualified health center Operational/Managerial Control Sep 1, 2014
Northpoint Workforce Center ClinicMinneapolis, MN, CCN 241873 Federally qualified health center Other (100%) Jan 1, 1968
Northpoint Franklin Middle SchoolMinneapolis, MN, CCN 241877 Federally qualified health center Other (100%) Jan 1, 1968
People Serving PeopleMinneapolis, MN, CCN 241885 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Sep 19, 1987
Sep 19, 1987
YouthlinkMinneapolis, MN, CCN 241879 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Sep 19, 1987
Sep 19, 1977
Catholic Charities Higher GroundMinneapolis, MN, CCN 241880 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 19, 1987
Salvation Army Harbor Light CenterMinneapolis, MN, CCN 241881 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 19, 1987
EndeavorsMinneapolis, MN, CCN 241899 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Sep 19, 1987
Sep 19, 1987

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1831408988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 PLYMOUTH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113600",
            "telephone_number": "612-543-2500",
            "fax_number": "612-302-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 OLIVER AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111821",
            "telephone_number": "612-643-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEPIN COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENNEPIN COUNTY",
        "enumeration_date": "2010-10-06",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "DIOUF",
        "authorized_official_first_name": "BAYE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "612-543-2545"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthPoint Health & Wellness Center- Plymouth Youth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.