North Country Community Mental Health
NPI 1053474015 · Community/Behavioral Health Agency · Petoskey, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Country Community Mental Health is a Community/Behavioral Health Agency organization in Petoskey, MI (NPI 1053474015).
Provider details
- NPI number
- 1053474015
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alexis Kaczynski, Executive Director(231) 347-7890
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2015-12-16
Frequently asked questions
- What is North Country Community Mental Health's NPI number?
- North Country Community Mental Health's National Provider Identifier (NPI) is 1053474015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Country Community Mental Health?
- North Country Community Mental Health is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is North Country Community Mental Health located?
- North Country Community Mental Health's practice location on file with NPPES is 1420 Plaza Dr, Petoskey, MI 49770-9420.
- What is North Country Community Mental Health's phone number?
- The practice phone number listed in the NPPES registry for North Country Community Mental Health is (231) 439-1233.
- Does North Country Community Mental Health accept Medicare?
- North Country Community Mental Health is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for North Country Community Mental Health?
- The authorized official listed on North Country Community Mental Health's NPPES record is Alexis Kaczynski, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Country Community Mental Health's NPI active?
- Yes — North Country Community Mental Health's NPI (1053474015) is active in the NPPES registry as of the last update on 2015-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.