NPIMap

Organization Active NPI

Northern Lakes Community Mental Health Authority

  • Case Management Agency
  • Traverse City, MI
National Provider Identifier
1508967068
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Practice address
105 Hall Street
Suite D
Traverse City, MI 49684
Phone
(231) 922-4850
Fax
(231) 935-4164
NPI assigned
Sep 26, 2006
Organization subpart
Yes
Parent organization
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Erica Longstreet
Title
Chief Clinical Officer
Phone
(231) 922-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

105 Hall Street
Suite D
Traverse City, MI 49684

Mailing address

105 Hall Street
Suite D
Traverse City, MI 49684
Phone (231) 922-4850

Other identifiers 1

IdentifierTypeStateIssuer
77 4508846MedicaidMI

Other names 1

  • Northern Health Care Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Northern Lakes Community Mental Healtlh Authority6 organizations share this tax ID, including this one
Part of
Northern Lakes Community Mental Healtlh Authority

Other organizations with this tax ID 5

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

Locations

105 Hall St
Unit D
Traverse City, MI 49684
Phone (231) 935-4163

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1508967068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HALL STREET",
            "address_2": "SUITE D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-922-4850",
            "fax_number": "231-935-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HALL STREET",
            "address_2": "SUITE D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-922-4850",
            "fax_number": "231-935-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "LONGSTREET",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "231-922-4850"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77 4508846",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Health Care Management",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northern Health Care Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.