LAKESHORE COMMUNITY COUNSELING CENTER PLLC
NPI 1225376056
Community/Behavioral Health in Cadillac, MI

Q: What is Lakeshore Community Counseling Center PLLC's specialty?

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

Active since January 29, 2013

9116 E 13TH ST, SUITE B, CADILLAC, MI 49601(231) 878-3059 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lakeshore Community Counseling Center Pllc NPPES

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

LAKESHORE COMMUNITY COUNSELING CENTER PLLC (NPI 1225376056) is a healthcare organization registered as a community/behavioral health in Cadillac, Michigan and active in the NPI registry since January 2013. The organization lists Craig Allen Derror, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225376056

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLAKESHORE COMMUNITY COUNSELING CENTER PLLC

Location Address9116 E 13TH ST, SUITE BCadillac, MI 49601-8126

Mailing Address9116 E 13th St, Suite BCadillac, MI 49601-8126 · (231) 878-3059

Phone(231) 878-3059

Organization SubpartNo

Authorized OfficialCraig Allen DerrorExecutive Director · (231) 878-3059

Enumeration DateJanuary 29, 2013

✔ NPI 1225376056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MI · 6301013463

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.

9116 E 13TH ST, Cadillac, MI 49601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Lakeshore Community Counseling Center 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 Lakeshore Community Counseling Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Craig Derror, PHD

Clinical Psychologist

NPI 1124366950

9116 E 13TH ST SUITE B
Cadillac, MI 49601

(231) 878-3059

✔ PECOS✔ Accepts Medicare12 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 Lakeshore Community Counseling Center PLLC's NPI number?

The NPI number for Lakeshore Community Counseling Center PLLC is 1225376056. It was assigned to this organization in the NPPES registry on January 29, 2013.

Where is Lakeshore Community Counseling Center PLLC located?

Lakeshore Community Counseling Center PLLC is located at 9116 E 13th St Suite B, Cadillac, MI 49601. The listed phone number is (231) 878-3059.

What is Lakeshore Community Counseling Center PLLC's specialty?

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

Is Lakeshore Community Counseling Center PLLC enrolled in Medicare?

Yes. Lakeshore Community Counseling Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Community Counseling Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lakeshore Community Counseling Center 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 Lakeshore Community Counseling Center PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Community Counseling Center 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 Lakeshore Community Counseling Center PLLC was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.