Active NPI
Northern Embers Mental Health LLC.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Traverse City, MI
National Provider Identifier
1063344869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NORTHERN EMBERS MENTAL HEALTH LLC.
- Practice address
- 4020 Copper VW Ste 104F
Traverse City, MI 49684-7041 - Phone
- (231) 714-4442
- NPI assigned
- Jun 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Riegel, DO
- Title
- Psychiatrist
- Phone
- (248) 274-6464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4020 Copper VW Ste 104F
Traverse City, MI 49684-7041
Mailing address
4020 Copper VW Ste 104
Traverse City, MI 49684-7041
National Provider Directory
National Provider DirectoryLocations
4020 Copper Vw
Ste 104
Traverse City, MI 49684
Phone (231) 421-6921
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1649685108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1063344869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 COPPER VW STE 104",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 COPPER VW STE 104F",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847041",
"telephone_number": "231-714-4442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN EMBERS MENTAL HEALTH LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-05-26",
"status": "A",
"authorized_official_last_name": "RIEGEL",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "248-274-6464",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
- North Flight Aero Med
- North Flight Inc
- North Flight Inc
- North Love
- Northcare Chiropractic Health Center, PLLC
- Northern Lakes Community Mental Health Authority
- Northern Lakes Community Mental Health Authority
- Northern Lakes Community Mental Health Authority
- Northern Lakes Community Mental Health Authority
- Northern Lakes Community Mental Health Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.