Active NPI
Northern Lakes Community Mental Health Authority
- Community/Behavioral Health Agency
- Traverse City, MI
National Provider Identifier
1598844771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
- Practice address
- 105 Hall St
Suite a
Traverse City, MI 49684-2288 - Phone
- (231) 922-4850
- Fax
- (231) 935-3856
- NPI assigned
- Nov 6, 2006
- 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
- Erica Longstreet
- Title
- Chief Clinical Officer
- Phone
- (231) 922-4850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
105 Hall St
Suite a
Traverse City, MI 49684-2288
Mailing address
105 Hall St
Suite a
Traverse City, MI 49684-2288
Phone (231) 922-4850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0750910832 | Other | MI | BCBSM OPC GRAYLING |
National Provider Directory
National Provider DirectoryLocations
527 Cobb St
Cadillac, MI 49601
Phone (231) 775-1213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786060800000",
"number": "1598844771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 HALL ST",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842288",
"telephone_number": "231-922-4850",
"fax_number": "231-935-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 HALL ST",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842288",
"telephone_number": "231-922-4850",
"fax_number": "231-935-3856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM OPC GRAYLING",
"identifier": "0750910832",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
- Northcare Chiropractic Health Center, PLLC
- Northern Embers Mental Health LLC.
- Northern Lakes Community Mental Health Authority (Northern Lakes Integrated Health Clinic)
- 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)
- Northern Lakes Community Mental Healtlh Authority
- Northern Lights Chiropractic, PLLC
- Northern Lights Sleep Solutions PLLC
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.