THE NORTHERN LIGHTS COUNSELING COLLECTIVE PLLC
NPI 1164373858
Counselor - Mental Health in Traverse City, MI
About The Northern Lights Counseling Collective Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE NORTHERN LIGHTS COUNSELING COLLECTIVE PLLC (NPI 1164373858) is a healthcare organization registered as a mental health in Traverse City, Michigan and active in the NPI registry since February 2026. The organization lists Jeanice Marie Knight-bogatz, Owner- Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
The Northern Lights Counseling Collective Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Northern Lights Counseling Collective PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 The Northern Lights Counseling Collective PLLC's NPI number?
The NPI number for The Northern Lights Counseling Collective PLLC is 1164373858. It was assigned to this organization in the NPPES registry on February 7, 2026.
Where is The Northern Lights Counseling Collective PLLC located?
The Northern Lights Counseling Collective PLLC is located at 3155 Logan Valley Rd, Traverse City, MI 49684. The listed phone number is (402) 677-9083.
What is The Northern Lights Counseling Collective PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is The Northern Lights Counseling Collective PLLC enrolled in Medicare?
Yes. The Northern Lights Counseling Collective PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Northern Lights Counseling Collective PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to The Northern Lights Counseling Collective PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Northern Lights Counseling Collective PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list The Northern Lights Counseling Collective PLLC 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 The Northern Lights Counseling Collective PLLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# The Northern Lights Counseling Collective Pllc · NPI 1164373858
Mental Health organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since February 7, 2026.
## Identity
- **NPI:** 1164373858 (Entity type: Organization)
- **Enumerated:** February 7, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jeanice Knight-Bogatz, OWNER- AUTHORIZED OFFICIAL
## Practice location
- **Address:** 3155 LOGAN VALLEY RD, Traverse City, MI 49684-4772
- **Phone:** (402) 677-9083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164373858) · Data from the CMS NPPES public registry.