NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
NPI 1518068071
Community/Behavioral Health in Traverse City, MI

Active since September 26, 2006
105 HALL STREET, SUITE A, TRAVERSE CITY, MI 49684(231) 922-4850(231) 935-3856 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Jan 4, 2024 (2 updates tracked since 2024).

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 1518068071) is a healthcare organization registered as a community/behavioral health in Traverse City, Michigan and active in the NPI registry since September 2006. The organization lists Erica Longstreet, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1518068071
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Location Address105 HALL STREET, SUITE ATraverse City, MI 49684
Mailing Address105 Hall Street, Suite ATraverse City, MI 49684 · (231) 922-4850 · Fax (231) 935-3856
Fax(231) 935-3856
Organization SubpartNo
Authorized OfficialErica LongstreetChief Clinical Officer · (231) 922-4850
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1518068071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
105 HALL STREET, Traverse City, MI 49684

Other Identifiers 4

OtherM007933MI · Tri Care Champus
Other0260B81097MI · Bcbsm Non Opc Physicians
Other104985MI · Preferred Choices
Medicaid21 4540048MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Northern Lakes Community Mental Health Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Northern Lakes Community Mental Health Authority, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Psychiatry8
Clinical Social Worker2
Occupational Therapist in Private Practice1

Clinicians, nearest first (11)

Psychiatry
NPI 1144390980
105 HALL ST SUITE A
Traverse City, MI 49684
(231) 922-4850
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1558433904
105 HALL ST SUITE A
Traverse City, MI 49684
(231) 922-4850
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1881932499
105 HALL ST SUITE A
Traverse City, MI 49684
(231) 935-4159
✔ Accepts MedicareSame address
Psychiatry
NPI 1851831713
105 HALL ST UNIT A
Traverse City, MI 49684
(231) 947-2255
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1467933325
105 HALL ST
Traverse City, MI 49684
(231) 922-4850
✔ PECOSSame address
Psychiatry
NPI 1043389273
105 HALL ST SUITE A
Traverse City, MI 49684
(231) 922-4850
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1447480934
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts Medicare0.8 mi
Psychiatry
NPI 1104866227
526 W 14TH ST SUITE 186
Traverse City, MI 49684
(231) 775-3463
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1386911238
104 HEATHER PL
Cadillac, MI 49601
(231) 233-1988
✔ PECOS38 mi
Psychiatry
NPI 1326539776
965 FEE RD RM 233A
East Lansing, MI 48824
(517) 353-4362
✔ PECOS✔ Accepts Medicare153 mi
Psychiatry
NPI 1205332871
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 615-0199
✔ PECOS✔ Accepts Medicare196 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 Northern Lakes Community Mental Health Authority's NPI number?

The NPI number for Northern Lakes Community Mental Health Authority is 1518068071. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Northern Lakes Community Mental Health Authority located?

Northern Lakes Community Mental Health Authority is located at 105 Hall Street Suite A, Traverse City, MI 49684. The listed phone number is (231) 922-4850.

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

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

Is Northern Lakes Community Mental Health Authority enrolled in Medicare?

Yes. Northern Lakes Community Mental Health Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Lakes Community Mental Health Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Northern Lakes Community Mental Health Authority. 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 Psychiatry (8), Clinical Social Worker (2) and Occupational Therapist in Private Practice (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northern Lakes Community Mental Health Authority accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 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.