NORTH COUNTRY COMMUNITY MENTAL HEALTH (NPI# 1881060549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881060549 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY COMMUNITY MENTAL HEALTH |
| Practice Address |
1420 Plaza Dr Petoskey MI 49770-9420 |
| Practice Telephone | 2313477890 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | ALEXIS KACZYNSKI (DIRECTOR) |
| Authorized Official Telephone | 2313477890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366760381 | North Country Community Mental Health | Community/Behavioral Health | 1 Macdonald Dr, Suite A, Petoskey, MI 49770-4406 | 2010-05-14 |
| 1053474015 | North Country Community Mental Health | Community/Behavioral Health | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2006-12-19 |
| Street Address |
1420 PLAZA DR |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182279 | Pamala Krasinski-wespiser | Counselor | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2019-12-26 |
| 1093274722 | Mark Braendle | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2019-03-12 |
| 1538674353 | Brooke Kleinert | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2017-12-04 |
| 1033587209 | Amy Jackson | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2015-09-04 |
| 1992136659 | Geraldine L Deyoung | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1487085064 | Sherri L Spencer | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1003247776 | Jessica J Kenyon | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1972933299 | Linda Brant | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-11-22 |
| 1598964496 | Karen Ferguson Bagwell | Social Worker | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2007-07-12 |
| 1407059991 | Karleen Jo Berry | Psychologist | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2007-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
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| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235342866 | Little Traverse Bay Bands of Odawa Indians | Community/Behavioral Health | 101 Greenwood, Petoskey, MI 49770 | 2007-05-08 |
| 1821477845 | The Men's Counseling Center of Northern Michigan, LLC | Community/Behavioral Health | 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 | 2015-05-22 |
| 1275940280 | Susan M. Hoffman | Community/Behavioral Health | 231 State St, Petoskey, MI 49770-2785 | 2014-07-22 |
| 1518208008 | Mosaic Center for Integrative Therapy, LLC | Community/Behavioral Health | 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 | 2013-03-07 |
| 1366760381 | North Country Community Mental Health | Community/Behavioral Health | 1 Macdonald Dr, Suite A, Petoskey, MI 49770-4406 | 2010-05-14 |
| 1053474015 | North Country Community Mental Health | Community/Behavioral Health | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
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| 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.