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ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES
NPI 1528570322
Clinic/Center - Primary Care in Allegan, MI

Active since November 02, 2017
3285 122ND AVE, ALLEGAN, MI 49010(269) 673-6617(269) 673-2738 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Allegan County Community Mental Health Services NPPES

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

ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES (NPI 1528570322) is a healthcare organization registered as a primary care in Allegan, Michigan and active in the NPI registry since November 2017. The organization lists Lynn Yetman, Reimbursement Coordinator, as its authorized official.

NPPES Registry Identity

NPI1528570322
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES
Location Address3285 122ND AVEAllegan, MI 49010-9511
Mailing AddressPo Box 130Allegan, MI 49010-0130 · (269) 673-6617 · Fax (269) 686-5201
Phone(269) 673-6617
Fax(269) 673-2738
Organization SubpartNo
Authorized OfficialLynn YetmanReimbursement Coordinator · (269) 673-6617
Enumeration DateNovember 2, 2017
✔ NPI 1528570322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3285 122ND AVE, Allegan, MI 49010
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allegan County Community Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Allegan County Community Mental Health Services, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Clinical Social Worker19
Mental Health Counselor6
Emergency Medicine2
Nurse Practitioner2
Psychiatry2
Addiction Medicine1
Occupational Therapist in Private Practice1

Nearest to this location (20)

See all 33
Staci Gofton, LMSW
Clinical Social Worker
NPI 1770654360
3285 122ND AVE
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts MedicareSame address
Beverly Kluzak, LMSW
Clinical Social Worker
NPI 1356380299
3285 122ND AVE PO DRAWER 130
Allegan, MI 49010
(269) 673-6617
✔ PECOSSame address
Charles Redman, LMSW
Clinical Social Worker
NPI 1760811244
3285 122ND AVE
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts MedicareSame address
Abbigail Ralston, LMSW
Clinical Social Worker
NPI 1134705049
213 HUBBARD ST
Allegan, MI 49010
(269) 673-1896
✔ PECOS✔ Accepts Medicare3.7 mi
Alisa Becklar, LMSW
Clinical Social Worker
NPI 1255898490
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts Medicare4.1 mi
Caitlin Clemens, LMSW, QIDP
Clinical Social Worker
NPI 1427611672
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts Medicare4.1 mi
Jamie Dickerson, M.A. LPC
Mental Health Counselor
NPI 1417385733
540 JENNER DR
Allegan, MI 49010
(269) 673-3384
✔ PECOS✔ Accepts Medicare4.1 mi
Aaron Dortch, LMSW
Clinical Social Worker
NPI 1023524303
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS4.1 mi
Josie Huizenga, LMSW
Clinical Social Worker
NPI 1588264329
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS4.1 mi
Carin Johnson
Clinical Social Worker
NPI 1174140388
540 JENNER DR
Allegan, MI 49010
(269) 254-3701
✔ PECOS✔ Accepts Medicare4.1 mi
Melanie Krieg, LLP, LPC
Mental Health Counselor
NPI 1518263664
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS4.1 mi
Deborah Kupres, LMSW
Clinical Social Worker
NPI 1861008955
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts Medicare4.1 mi
Patricia Lynne, MA, LPC, NCC, QMHP
Mental Health Counselor
NPI 1497402424
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts Medicare4.1 mi
Lisa Pline, LMSW, CAADC, ADS
Clinical Social Worker
NPI 1386242345
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts Medicare4.1 mi
Sarah Plummer, LMSW
Clinical Social Worker
NPI 1932605557
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts Medicare4.1 mi
Kenneth Sparks, LMSW
Clinical Social Worker
NPI 1154894756
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts Medicare4.1 mi
Kimberly Thomas, LMSW
Clinical Social Worker
NPI 1093456691
540 JENNER DR
Allegan, MI 49010
(269) 355-2068
✔ PECOS✔ Accepts Medicare4.1 mi
Karen Krusinga, NP
Nurse Practitioner
NPI 1629260252
551 LINN ST
Allegan, MI 49010
(269) 686-5833
✔ PECOS✔ Accepts Medicare4.1 mi
Gabriel Hernandez, LMSW
Clinical Social Worker
NPI 1114545423
483 CENTURY LN
Holland, MI 49423
(616) 610-3874
✔ PECOS✔ Accepts Medicare18 mi
Emanpreet Kaur
Nurse Practitioner
NPI 1104693506
6326 HARMON GREEN AVE SW
Grandville, MI 49418
(571) 528-0812
✔ PECOS✔ Accepts Medicare19 mi
See all 33 clinicians

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 Allegan County Community Mental Health Services's NPI number?

The NPI number for Allegan County Community Mental Health Services is 1528570322. It was assigned to this organization in the NPPES registry on November 2, 2017.

Where is Allegan County Community Mental Health Services located?

Allegan County Community Mental Health Services is located at 3285 122nd Ave, Allegan, MI 49010. The listed phone number is (269) 673-6617.

What is Allegan County Community Mental Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Allegan County Community Mental Health Services enrolled in Medicare?

Yes. Allegan County Community Mental Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allegan County Community Mental Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 7 Medicare specialties reassign their Medicare billing to Allegan County Community Mental Health Services. 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 (19), Mental Health Counselor (6) and Emergency Medicine (2). Of these, 3 practice at this address and 18 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 Allegan County Community Mental Health Services was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.