NPIMap

Organization Active NPI

Little Traverse Bay Bands of Odawa Indians

  • Community/Behavioral Health Agency
  • Petoskey, MI
National Provider Identifier
1235342866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
240029 Issued in MI
Legal business name
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
Practice address
101 Greenwood
Petoskey, MI 49770
Phone
(231) 242-1642
Fax
(231) 242-1659
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Linda M Woods, MSW
Title
Substance Abuse Director
Phone
(231) 242-1646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 240029 MI Primary

Addresses

Primary practice location

101 Greenwood
Petoskey, MI 49770

Mailing address

7500 Odawa Circle
Harbor Springs, MI 49740
Phone (231) 242-1400

National Provider Directory

National Provider Directory
Tax ID family
Little Traverse Bay Ban4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235342866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 ODAWA CIRCLE",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "49740",
            "telephone_number": "231-242-1400",
            "fax_number": "231-242-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-242-1642",
            "fax_number": "231-242-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE DIRECTOR",
        "authorized_official_telephone_number": "231-242-1646",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "240029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.