Northern Lakes Community Mental Health Authority
NPI 1417481136 · Clinic/Center · Traverse City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Lakes Community Mental Health Authority is a Clinic/Center organization in Traverse City, MI (NPI 1417481136).
Provider details
- NPI number
- 1417481136
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Northern Lakes Community Mental Health Authority
- Organization subpart
- Yes
- Authorized official
- Nancy Stevenson, Coo(231) 922-4850
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Other names (DBA / former)
- Doing business as
- Northern Lakes Integrated Health Clinic
- Doing business as
- Northern Lakes Integrated Health Clinic
Registry dates
- Enumerated
- 2017-04-19
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Frequently asked questions
- What is Northern Lakes Community Mental Health Authority's NPI number?
- Northern Lakes Community Mental Health Authority's National Provider Identifier (NPI) is 1417481136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Lakes Community Mental Health Authority?
- Northern Lakes Community Mental Health Authority is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northern Lakes Community Mental Health Authority located?
- Northern Lakes Community Mental Health Authority's practice location on file with NPPES is 105 Hall St, Traverse City, MI 49684-2288.
- What is Northern Lakes Community Mental Health Authority's phone number?
- The practice phone number listed in the NPPES registry for Northern Lakes Community Mental Health Authority is (231) 935-3062.
- Does Northern Lakes Community Mental Health Authority accept Medicare?
- Northern Lakes Community Mental Health Authority 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 Northern Lakes Community Mental Health Authority?
- The authorized official listed on Northern Lakes Community Mental Health Authority's NPPES record is Nancy Stevenson, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Lakes Community Mental Health Authority's NPI active?
- Yes — Northern Lakes Community Mental Health Authority's NPI (1417481136) is active in the NPPES registry as of the last update on 2023-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.