NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY (NPI# 1508967068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508967068 |
| Entity Type | Organization |
| Organization Name | NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY |
| Other Organization Name | NORTHERN HEALTH CARE MANAGEMENT |
| Practice Address |
105 Hall Street Suite D Traverse City MI 49684 |
| Practice Telephone | 2319224850 |
| Practice Fax Number | 2319354164 |
| Mailing Telephone | 2319224850 |
| Mailing Fax Number | 2319354164 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | KARL KOVACS (CEO) |
| Authorized Official Telephone | 2319224850 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 77 4508846 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Health Care Management | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518068071 | Northern Lakes Community Mental Health Authority | Community/Behavioral Health | 105 Hall Street, Suite A, Traverse City, MI 49684 | 2006-09-26 |
| 1417481136 | Northern Lakes Community Mental Health Authority | Clinic/Center | 105 Hall St, Suite C, Traverse City, MI 49684-2288 | 2017-04-19 |
| 1831599133 | Northern Lakes Community Mental Health Authority | Community/Behavioral Health | 105 Hall St, Traverse City, MI 49684-2288 | 2014-08-25 |
| 1598844771 | Northern Lakes Community Mental Health Authority | Community/Behavioral Health | 105 Hall St, Suite A, Traverse City, MI 49684-2288 | 2006-11-06 |
| 1083794408 | Northern Lakes Community Mental Health Authority | Community/Behavioral Health | 105 Hall St, Suite A, Traverse City, MI 49684-2288 | 2006-10-17 |
| 1669572657 | Northern Lakes Community Mental Health Authority | Community/Behavioral Health | 105 Hall St, Suite A, Traverse City, MI 49684-2288 | 2006-09-22 |
| Street Address |
105 HALL STREET SUITE D |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518068071 | Northern Lakes Community Mental Health Authority | Community/Behavioral Health | 105 Hall Street, Suite A, Traverse City, MI 49684 | 2006-09-26 |
| 1982945093 | Brit Cheryne Lundquist | Psychologist | 105 Hall Street, Traverse City, MI 49686 | 2013-03-14 |
| 1386984086 | Jordan A Byington | Social Worker | 105 Hall Street, Suite A, Traverse City, MI 49684 | 2013-02-18 |
| 1023230406 | Jill L Platte | Psychologist | 105 Hall Street, Suite A, Traverse City, MI 49684 | 2007-05-03 |
| 1558582130 | James L Talbott | Psychologist | 105 Hall Street, Suite A, Traverse City, MI 49684 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487132965 | Northern Michigan Alliance for Independent Living | Case Management | 415 E 8th St, Traverse City, MI 49686-2692 | 2018-08-06 |
| 1346615218 | Goodwill Industries of Northern Michigan | Case Management | 2943 Keystone Rd N, Traverse City, MI 49686-8814 | 2015-12-03 |
| 1528477130 | Blr Trillium Services LLC | Case Management | 2265 West Carriage Hill Drive, Traverse City, MI 49686 | 2014-08-07 |
| 1851703417 | Grand Traverse Area Community Living Management Corporation | Case Management | 935 Barlow St, Traverse City, MI 49686-4250 | 2014-05-29 |
| 1295755122 | Northwest Senior Resources Incorporated | Case Management | 1609 Park Dr, Traverse City, MI 49696-5946 | 2006-07-21 |
| 1942563861 | Tms Services North, Plc | Case Management | 4020 Copper Vw, Suite 211, Traverse City, MI 49684-7098 | 2012-06-18 |
| 1154564581 | Area Agency On Aging of Nw Michigan | Case Management | 1609 Park Dr, Traverse City, MI 49686-4701 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251965 | Care Management Systems LLC | Case Management | 52851 Camelot Ct, Shelby Township, MI 48315-2570 | 2020-09-28 |
| 1285240663 | A Parents' Gift, LLC | Case Management | 965 Ravine Terrace Ct, Rochester Hills, MI 48307-2720 | 2020-09-21 |
| 1972118446 | Mama and Me Mihp, LLC | Case Management | 44540 Harmony Ln, Van Buren Twp, MI 48111-2410 | 2020-09-11 |
| 1700499811 | Michigan United Cerebral Palsy | Case Management | 23077 Greenfield Rd Ste 205, Southfield, MI 48075-3745 | 2020-08-28 |
| 1770195851 | Christine Lynn Shepard | Case Management | 8448 Buffalo Dr, Commerce Township, MI 48382-3404 | 2020-08-19 |
| 1841826955 | Elisha Etienne LLC | Case Management | 4720 Romeo Ln, Northville, MI 48167-8699 | 2020-03-20 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1205485752 | Senior Chronic Care Management, LLC | Case Management | 13301 Mound Rd Ste 3b, Hamtramck, MI 48212-2545 | 2019-09-07 |
| 1255988838 | Kiri Deyoung | Case Management | 878 Grandville Ave Sw Apt 4, Grand Rapids, MI 49503-4985 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.