AUSABLE VALLEY COMMUNITY MENTAL HEALTH SERVICES BOARD
NPI 1417011701
Community/Behavioral Health in Tawas City, MI
About Ausable Valley Community Mental Health Services Board NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUSABLE VALLEY COMMUNITY MENTAL HEALTH SERVICES BOARD (NPI 1417011701) is a healthcare organization registered as a community/behavioral health in Tawas City, Michigan and active in the NPI registry since December 2006. The organization lists Patricia Otremba, Cheif Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ausable Valley Community Mental Health Services Board is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Ausable Valley Community Mental Health Services Board, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (20)
Boone, NC 28607
Statesville, NC 28677
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 Ausable Valley Community Mental Health Services Board's NPI number?
The NPI number for Ausable Valley Community Mental Health Services Board is 1417011701. It was assigned to this organization in the NPPES registry on December 20, 2006.
Where is Ausable Valley Community Mental Health Services Board located?
Ausable Valley Community Mental Health Services Board is located at 1199 W Harris Ave, Tawas City, MI 48764. The listed phone number is (989) 362-8636.
What is Ausable Valley Community Mental Health Services Board's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Ausable Valley Community Mental Health Services Board enrolled in Medicare?
Yes. Ausable Valley Community Mental Health Services Board is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ausable Valley Community Mental Health Services Board?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Ausable Valley Community Mental Health Services Board. 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. The largest specialties are Clinical Social Worker (13), Nurse Practitioner (3) and Psychiatry (3). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ausable Valley Community Mental Health Services Board was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ausable Valley Community Mental Health Services Board · NPI 1417011701
Community/Behavioral Health organization in Tawas City, Michigan. Organization record, active in the CMS NPPES registry since December 20, 2006.
## Identity
- **NPI:** 1417011701 (Entity type: Organization)
- **Enumerated:** December 20, 2006
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Patricia Otremba, CHEIF EXECUTIVE OFFICER
## Practice location
- **Address:** 1199 W HARRIS AVE, Tawas City, MI 48764-9310
- **Phone:** (989) 362-8636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (13), Nurse Practitioner (3), Psychiatry (3); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2026
- **Other identifiers:** Medicaid 4456570 (MI); Medicaid 1706830 (MI); Medicaid 4811060 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1417011701) · Data from the CMS NPPES public registry.