GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
NPI 1396396180
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wakefield, MI

Q: What is Gogebic County Community Mental Health Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 24, 2019CLIA 23D2196168 · Waiver

103 W US HIGHWAY 2, WAKEFIELD, MI 49968(906) 229-6100(906) 229-6191 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Oct 27, 2022, Sep 24, 2019 (3 updates tracked since 2019).

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About Gogebic County Community Mental Health Authority NPPES

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

GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (NPI 1396396180) is a healthcare organization registered as a mental health (including community mental health center) in Wakefield, Michigan and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Tess Greenough, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396396180

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameGOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

Location Address103 W US HIGHWAY 2Wakefield, MI 49968-9515

Mailing Address103 W Us Highway 2Wakefield, MI 49968-9515 · (906) 229-6100 · Fax (906) 229-6191

Phone(906) 229-6100

Fax(906) 229-6191

Organization SubpartNo

Authorized OfficialTess GreenoughCeo · (906) 229-6100

Enumeration DateSeptember 24, 2019

Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1396396180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

103 W US HIGHWAY 2, Wakefield, MI 49968

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2196168

Gogebic County Community Mental Health Authority · Wakefield, MI

Active · expires Oct 14, 2026

CLIA Number23D2196168

Laboratory TypeComm Mental Health

Certificate Effective DateOctober 15, 2024

Certificate Expiration DateOctober 14, 2026

Laboratory DirectorJulie A. Hautala

Laboratory Phone(906) 229-6106

Laboratory LocationGogebic County Community Mental Health Authority103 W Us 2, Wakefield, MI 49968

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNA MAE KOIVISTO

Case Manager/Care Coordinator