Northern Tranquility Mental Health Services
NPI 1700469640 · Community/Behavioral Health Agency · Chisholm, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Tranquility Mental Health Services is a Community/Behavioral Health Agency organization in Chisholm, MN (NPI 1700469640).
Provider details
- NPI number
- 1700469640
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Melissa Brusacoram, Owner, Ceo, Aprn-Cnp, Pmhnp-Bc(218) 254-0101
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Frequently asked questions
- What is Northern Tranquility Mental Health Services's NPI number?
- Northern Tranquility Mental Health Services's National Provider Identifier (NPI) is 1700469640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Tranquility Mental Health Services?
- Northern Tranquility Mental Health Services is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Northern Tranquility Mental Health Services located?
- Northern Tranquility Mental Health Services's practice location on file with NPPES is 12 W Lake St, Chisholm, MN 55719-1817.
- What is Northern Tranquility Mental Health Services's phone number?
- The practice phone number listed in the NPPES registry for Northern Tranquility Mental Health Services is (218) 296-0688.
- Does Northern Tranquility Mental Health Services accept Medicare?
- Northern Tranquility Mental Health Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Tranquility Mental Health Services?
- The authorized official listed on Northern Tranquility Mental Health Services's NPPES record is Melissa Brusacoram, Owner, Ceo, Aprn-Cnp, Pmhnp-Bc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Tranquility Mental Health Services's NPI active?
- Yes — Northern Tranquility Mental Health Services's NPI (1700469640) is active in the NPPES registry as of the last update on 2024-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.