Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS

Doing business as

Gun Lake Tribe Behavior Health
Gun Lake Tribe HHS

Practice address

2880 Mission Dr
Shelbyville, MI 49344-9580

Phone

(269) 397-1760

Fax

(269) 397-1763

NPI assigned

Dec 18, 2025

Organization subpart

Yes

Parent organization

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANSAs reported in NPPES

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

Authorized official

Name

Janet Sue Reed-Hardin

Title

Business Office Manager

Phone

(269) 397-1760

Specialties & licenses 1

Addresses

Other names 2

• Gun Lake Tribe Behavior Health Doing business as
• Gun Lake Tribe HHS Doing business as

Tax ID family

Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians2 organizations share this tax ID, including this one

Part of

Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians

Other organizations with this tax ID 1

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

• Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians

  • Pharmacy
  • Shelbyville, MI
  • NPI 1689232241
  NPD tax ID

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1467317784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 MISSION DR",
            "city": "SHELBYVILLE",
            "state": "MI",
            "postal_code": "493449580",
            "telephone_number": "269-397-1760",
            "fax_number": "269-397-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 MISSION DR",
            "city": "SHELBYVILLE",
            "state": "MI",
            "postal_code": "493449580",
            "telephone_number": "269-397-1760",
            "fax_number": "269-397-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "REED-HARDIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "269-397-1760"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gun Lake Tribe Behavior Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gun Lake Tribe HHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael A Holtz, R.PH.
• Camille Woolf Irvine, MS, RDN
• Bobbi Keyzer, RN
• Angela Nguyen Kienutske
• Colin Kenneth Mandigo, LMSW
• Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians
• Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians
• Brandi Lynn Meyer, RN, CDCES
• Alyssa Michelle Milzarski, LMSW
• Kelsey Mosher, PHARMD

• Mental Health Counselor in Shelbyville, MI
• Providers in Shelbyville, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.