Collective Impact Services LLC
NPI 1083317010 · Professional Counselor · Petoskey, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Collective Impact Services LLC is a Professional Counselor organization in Petoskey, MI (NPI 1083317010).
Provider details
- NPI number
- 1083317010
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Julie Clark, Owner(231) 838-6099
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-03-27
- Last updated
- 2023-04-17
- Certified
- 2023-03-27
Frequently asked questions
- What is Collective Impact Services LLC's NPI number?
- Collective Impact Services LLC's National Provider Identifier (NPI) is 1083317010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collective Impact Services LLC?
- Collective Impact Services LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Collective Impact Services LLC located?
- Collective Impact Services LLC's practice location on file with NPPES is 616 Elizabeth St, Petoskey, MI 49770.
- What is Collective Impact Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Collective Impact Services LLC is (231) 758-6776.
- Does Collective Impact Services LLC accept Medicare?
- Collective Impact Services LLC 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 Collective Impact Services LLC?
- The authorized official listed on Collective Impact Services LLC's NPPES record is Julie Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collective Impact Services LLC's NPI active?
- Yes — Collective Impact Services LLC's NPI (1083317010) is active in the NPPES registry as of the last update on 2023-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.