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NORTH COUNTRY COMMUNITY MENTAL HEALTH
NPI 1053474015
Community/Behavioral Health in Petoskey, MI

Active since December 19, 2006
1420 PLAZA DR, PETOSKEY, MI 49770(231) 439-1233(231) 347-1241 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Country Community Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH COUNTRY COMMUNITY MENTAL HEALTH (NPI 1053474015) is a healthcare organization registered as a community/behavioral health in Petoskey, Michigan and active in the NPI registry since December 2006. The organization lists Alexis Kaczynski, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053474015
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTH COUNTRY COMMUNITY MENTAL HEALTH
Location Address1420 PLAZA DRPetoskey, MI 49770-9420
Mailing Address1420 Plaza DrPetoskey, MI 49770-9420 · (231) 439-1233 · Fax (231) 347-1241
Phone(231) 439-1233
Fax(231) 347-1241
Organization SubpartNo
Authorized OfficialAlexis KaczynskiExecutive Director · (231) 347-7890
Enumeration DateDecember 19, 2006
Last NPPES UpdateDecember 16, 2015
✔ NPI 1053474015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1420 PLAZA DR, Petoskey, MI 49770
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Other Identifiers 4

Medicare PIN0N71130
Medicaid4476072MI
Medicaid4476125MI
Medicaid4476116MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Country Community Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to North Country Community Mental Health, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Clinical Social Worker9
Mental Health Counselor4
Nurse Practitioner2
Psychiatry2
Clinical Psychologist1
Occupational Therapist in Private Practice1

Clinicians, nearest first (19)

Mary Lynn Brown, LMSW
Clinical Social Worker
NPI 1538918107
1420 PLAZA DR
Petoskey, MI 49770
(231) 347-7890
✔ PECOS✔ Accepts MedicareSame address
Tiffany Kiper, LMSW
Clinical Social Worker
NPI 1326730474
1420 PLAZA DR
Petoskey, MI 49770
(231) 439-1260
✔ PECOS✔ Accepts MedicareSame address
Adeena Stahlbuck-Whittaker
Mental Health Counselor
NPI 1508632761
1420 PLAZA DR
Petoskey, MI 49770
(231) 348-3096
✔ PECOSSame address
John Gherman, MD
Psychiatry
NPI 1780626788
1420 PLAZA DR
Petoskey, MI 49770
(877) 470-7130
✔ PECOS✔ Accepts MedicareSame address
Heather Irish, LPC
Mental Health Counselor
NPI 1629752928
1420 PLAZA DR
Petoskey, MI 49770
(231) 347-6701
✔ PECOS✔ Accepts MedicareSame address
Natalia Powell, MA, LPC, NCC
Mental Health Counselor
NPI 1700653656
1420 PLAZA DR
Petoskey, MI 49770
(231) 347-6701
✔ PECOS✔ Accepts MedicareSame address
James Sinclair, OTRL
Occupational Therapist in Private Practice
NPI 1295152031
1420 PLAZA DR
Petoskey, MI 49770
(231) 347-6701
Same address
Daniel Taylor, LMSW
Clinical Social Worker
NPI 1619014735
ONE MACDONALD DRIVE SUITE B
Petoskey, MI 49770
(213) 347-6701
✔ PECOS✔ Accepts Medicare2.4 mi
Michael Lucido, LLP
Clinical Psychologist
NPI 1760623433
1 MACDONALD DR STE B
Petoskey, MI 49770
(231) 347-6701
✔ PECOS✔ Accepts Medicare2.4 mi
Joann Haderer, DNP,PMHNP-BC,FNP-BC
Nurse Practitioner
NPI 1508295908
2202 MITCHELL PARK DR UNIT 5
Petoskey, MI 49770
(231) 348-5018
✔ PECOS✔ Accepts Medicare2.8 mi
Marit Vogel, M.D.
Psychiatry
NPI 1619037462
3260 WOODS WAY SUITE ONE
Petoskey, MI 49770
(231) 348-5590
✔ PECOS✔ Accepts Medicare4.8 mi
Emily Stevens, LMSW
Clinical Social Worker
NPI 1073048542
6250 M 66 N
Charlevoix, MI 49720
(231) 547-5885
✔ PECOS✔ Accepts Medicare14 mi
Mindy Binko, LLMSW
Clinical Social Worker
NPI 1780196006
407 W MAIN STREET
Gaylord, MI 49735
(989) 732-6448
✔ PECOS✔ Accepts Medicare27 mi
Jodie Roback
Clinical Social Worker
NPI 1689186744
203 E CAYUGA ST
Bellaire, MI 49615
(231) 533-8619
✔ PECOS✔ Accepts Medicare29 mi
Julia Perry, LPC
Mental Health Counselor
NPI 1336611904
800 LIVINGSTON BLVD FL 2
Gaylord, MI 49735
(989) 732-7558
✔ PECOS✔ Accepts Medicare30 mi
Alan Scott, LMSW
Clinical Social Worker
NPI 1821138488
748 S MAIN ST
Cheboygan, MI 49721
(231) 627-7118
✔ PECOS✔ Accepts Medicare31 mi
Mary Hotchkiss, LMSW
Clinical Social Worker
NPI 1962822312
825 S HURON ST STE 4
Cheboygan, MI 49721
(231) 627-5627
✔ PECOS✔ Accepts Medicare32 mi
Tamlynn Evans, APRN, BC, NP
Nurse Practitioner
NPI 1336113216
401 W FRONT ST SUITE 8
Traverse City, MI 49684
(231) 935-9002
✔ PECOS✔ Accepts Medicare52 mi
John Petras, PH.D.
Clinical Social Worker
NPI 1881947653
615 E. WISCONSIN STREET
Mount Pleasant, MI 48858
(989) 773-9600
✔ PECOS✔ Accepts Medicare121 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Country Community Mental Health's NPI number?

The NPI number for North Country Community Mental Health is 1053474015. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is North Country Community Mental Health located?

North Country Community Mental Health is located at 1420 Plaza Dr, Petoskey, MI 49770. The listed phone number is (231) 439-1233.

What is North Country Community Mental Health's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is North Country Community Mental Health enrolled in Medicare?

Yes. North Country Community Mental Health is registered in the Medicare PECOS enrollment system.

What insurance does North Country Community Mental Health accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list North Country Community Mental Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Country Community Mental Health was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.