Northern Lakes Community Mental Health Authority
A Medicare group practice based in Traverse City, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8022921154), with 25 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8022921154
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 3
- Group size
- 19 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 9
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031106000085 | MI | Part B Supplier - Clinic/Group Practice | 1518068071 |
| O20031117000682 | MI | Part B Supplier - Clinic/Group Practice | 1669572657 |
| O20170602002042 | MI | Part B Supplier - Clinic/Group Practice | 1417481136 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northern Lakes Community Mental Health Authority
- Clinic/Center
- Traverse City, MI
- NPI 1417481136
-
Northern Lakes Community Mental Health Authority
- Community/Behavioral Health Agency
- Traverse City, MI
- NPI 1518068071
-
Northern Lakes Community Mental Health Authority
- Community/Behavioral Health Agency
- Traverse City, MI
- NPI 1669572657
Practice locations
- Traverse City, MI3
- Houghton Lake, MI2
- Grayling, MI2
- Cadillac, MI2
Clinicians 25
Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (19).
-
Jacob Robert Aubry, DO
- Psychiatry Physician
- East Lansing, MI
- NPI 1326539776
-
Haylea Campbell
- Case Manager/Care Coordinator
- Cadillac, MI
- NPI 1609581966
-
Paula C Colombo, M.D.
- Psychiatry Physician
- Traverse City, MI
- NPI 1043389273
-
Alexander Cooper, FNP
- Family Nurse Practitioner
- Traverse City, MI
- NPI 1912452731
-
Curtis A Cummins, M.D.
- Psychiatry Physician
- Traverse City, MI
- NPI 1144390980
-
Deborah Ehle
- Clinical Social Worker
- Traverse City, MI
- NPI 1942674015
-
Jessica Lynn Felarca, LCSW, LMSW-C
- Clinical Social Worker
- Grayling, MI
- NPI 1407345184
-
Neal H Fellows, D.O.
- Psychiatry Physician
- Traverse City, MI
- NPI 1558433904
-
Kiley Fields
- Social Worker
- Cadillac, MI
- NPI 1487194767
-
Alyssa Gregory
- Clinical Social Worker
- Cadillac, MI
- NPI 1265897722
-
Meagan Helmholdt, LMSW
- Social Worker
- Traverse City, MI
- NPI 1508394875
-
Mindy Lynne Hodge, BS, LMSW, CADC
- Clinical Social Worker
- Grayling, MI
- NPI 1992272256
-
Amy Humrichouser, MD
- Psychiatry Physician
- Ann Arbor, MI
- NPI 1205332871
-
Mary C Joye
- Clinical Social Worker
- Patten, ME
- NPI 1295491231
-
Chad Koehn
- Professional Counselor
- Cadillac, MI
- NPI 1710326178
-
Mary Beth Kyro, OTR/L
- Mental Health Occupational Therapist
- Traverse City, MI
- NPI 1881932499
-
Maria J Mills, L.P.C.
- Professional Counselor
- Hillman, MI
- NPI 1508913104
-
Scott Arthur Monteith, M.D.
- Psychiatry Physician
- Traverse City, MI
- NPI 1104866227
-
Rachel H Plum, M.D.
- Psychiatry Physician
- Traverse City, MI
- NPI 1447480934
-
Jennifer L Rostamabadi-Cook, D.O.
- Psychiatry Physician
- Traverse City, MI
- NPI 1851831713
-
Jill Rountree, LMSW
- Clinical Social Worker
- Traverse City, MI
- NPI 1396291977
-
Kelley Samuels-Good
- Social Worker
- Cadillac, MI
- NPI 1841748977
-
Genell Sivek, LMSW
- Clinical Social Worker
- Traverse City, MI
- NPI 1316486269
-
Kristina Rose Woodworth
- Social Worker
- Cadillac, MI
- NPI 1457824047
-
Amanda Zuker, LMSW
- Clinical Social Worker
- Traverse City, MI
- NPI 1467933325
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.