Great Lakes Ttc,llc
NPI 1659610608 · Adult Mental Health Clinic/Center · Petoskey, MI
Great Lakes Ttc,llc is a Adult Mental Health Clinic/Center organization in Petoskey, MI (NPI 1659610608).
Provider details
- NPI number
- 1659610608
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derek Johnson, Owner(231) 487-2415
- License
- 6801089396 (MI)
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
13 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
- 2013-02-12
- Last updated
- 2013-02-12
Frequently asked questions
- What is Great Lakes Ttc,llc's NPI number?
- Great Lakes Ttc,llc's National Provider Identifier (NPI) is 1659610608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Ttc,llc?
- Great Lakes Ttc,llc is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Lakes Ttc,llc located?
- Great Lakes Ttc,llc's practice location on file with NPPES is 2206 Mitchell Park Dr Ste 10, Petoskey, MI 49770-8674.
- What is Great Lakes Ttc,llc's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Ttc,llc is (231) 487-2415.
- Who is the authorized official for Great Lakes Ttc,llc?
- The authorized official listed on Great Lakes Ttc,llc's NPPES record is Derek Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Ttc,llc's NPI active?
- Yes — Great Lakes Ttc,llc's NPI (1659610608) is active in the NPPES registry as of the last update on 2013-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.