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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
NPI 1417481136
Clinic/Center in Traverse City, MI

Active since April 19, 2017
105 HALL ST, SUITE C, TRAVERSE CITY, MI 49684(231) 935-3062 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2026, Apr 19, 2017 (2 updates tracked since 2017).

About Northern Lakes Community Mental Health Authority NPPES

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

NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY (NPI 1417481136) is a healthcare organization registered as a clinic/center in Traverse City, Michigan and active in the NPI registry since April 2017. The organization lists Erica Longstreet, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1417481136
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Location Address105 HALL ST, SUITE CTraverse City, MI 49684-2288
Mailing Address105 Hall St, Suite CTraverse City, MI 49684-2288
Phone(231) 935-3062
Organization SubpartYes
Authorized OfficialErica LongstreetChief Clinical Officer · (231) 922-4850
Enumeration DateApril 19, 2017
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1417481136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
105 HALL ST, Traverse City, MI 49684
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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.Insurance ›

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.

ARTHUR M NEWHOUSE MA LLP
Psychologist
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 922-4850
KAYLE MARIE RODRIGUEZ
Community Health Worker
105 HALL ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3538
ANDREW MURRAY
Social Worker
105 HALL ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 922-4850
MRS. MINDY ANN CRICK BS
Case Manager/Care Coordinator
105 HALL ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 409-4698
MS. RACHEL STONE RN BSN
Registered Nurse (Psychiatric/Mental Health)
105 HALL ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 922-4850
PAULA C COLOMBO M.D.
Psychiatry & Neurology (Psychiatry)
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 922-4850
BRIA L BRUNETTE
Registered Nurse
105 HALL ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 645-4500
TREVOR CRESSMAN LLMSW
Social Worker
105 HALL ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 645-6776

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 Northern Lakes Community Mental Health Authority's NPI number?

The NPI number for Northern Lakes Community Mental Health Authority is 1417481136. It was assigned to this organization in the NPPES registry on April 19, 2017.

Where is Northern Lakes Community Mental Health Authority located?

Northern Lakes Community Mental Health Authority is located at 105 Hall St Suite C, Traverse City, MI 49684. The listed phone number is (231) 935-3062.

What is Northern Lakes Community Mental Health Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Northern Lakes Community Mental Health Authority accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Northern Lakes Community Mental Health Authority 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 Northern Lakes Community Mental Health Authority was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.