BLUE WATER MENTAL HEALTH CLINIC
NPI 1457305419
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Gratiot, MI
About Blue Water Mental Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE WATER MENTAL HEALTH CLINIC (NPI 1457305419) is a healthcare organization registered as a mental health (including community mental health center) in Fort Gratiot, Michigan and active in the NPI registry since May 2006. The organization lists Linda A Liethen, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 2
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)
Blue Water Mental Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Blue Water Mental Health Clinic, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 30Source: 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 Blue Water Mental Health Clinic's NPI number?
The NPI number for Blue Water Mental Health Clinic is 1457305419. It was assigned to this organization in the NPPES registry on May 22, 2006.
Where is Blue Water Mental Health Clinic located?
Blue Water Mental Health Clinic is located at 1501 Krafft Rd, Fort Gratiot, MI 48059. The listed phone number is (810) 985-5125.
What is Blue Water Mental Health Clinic'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.
Is Blue Water Mental Health Clinic enrolled in Medicare?
Yes. Blue Water Mental Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Water Mental Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 4 Medicare specialties reassign their Medicare billing to Blue Water Mental Health Clinic. 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 (14), Mental Health Counselor (11) and Nurse Practitioner (3). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blue Water Mental Health Clinic 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 Blue Water Mental Health Clinic 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 Blue Water Mental Health Clinic was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Blue Water Mental Health Clinic · NPI 1457305419
Mental Health (Including Community Mental Health Center) organization in Fort Gratiot, Michigan. Organization record, active in the CMS NPPES registry since May 22, 2006.
## Identity
- **NPI:** 1457305419 (Entity type: Organization)
- **Enumerated:** May 22, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Linda Liethen, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1501 KRAFFT RD, Fort Gratiot, MI 48059-3565
- **Phone:** (810) 985-5125 · **Fax:** (810) 985-5127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (14), Mental Health Counselor (11), Nurse Practitioner (3); 15 practice within 10 miles; [full list](https://npiprofile.com/npi/1457305419/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2016
- **Other identifiers:** Medicare PIN 0G46321 (MI); Medicare PIN 0G46345 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1457305419) · Data from the CMS NPPES public registry.