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DAKOSKE HALL
NPI 1629431713
Physician Assistant in Traverse City, MI

Active since April 05, 2016CLIA 23D2157066 · Waiver
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686(231) 346-5216(231) 943-2590 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2018, Apr 16, 2018 (2 updates tracked since 2018).

About Dakoske Hall NPPES

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

DAKOSKE HALL (NPI 1629431713) is a healthcare organization registered as a physician assistant in Traverse City, Michigan and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through October 29, 2026, maintains 3 additional practice locations, and lists Paula Lipinski, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629431713
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameADDICTION TREATMENT SERVICES, INC.
Location Address1010 S GARFIELD AVETraverse City, MI 49686
Mailing Address1010 S Garfield AveTraverse City, MI 49686-3434 · (231) 346-5223 · Fax (231) 943-2590
Phone(231) 346-5216
Fax(231) 943-2590
Organization SubpartNo
Authorized OfficialPaula LipinskiExecutive Director · (231) 346-5223
Enumeration DateApril 5, 2016
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1629431713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601005691
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedDriverTaxonomy 172A00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License SA0280084 (MI)
1010 S GARFIELD AVE, Traverse City, MI 49686
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Other Names 4

Doing Business AsDakoske Hall
Doing Business AsOutpatient
Doing Business AsPhoenix Hall
Doing Business AsThe Pier

Secondary Practice Locations 3

Location 1116 E Eighth StTraverse City, MI 49684-2524 · Phone (231) 346-5216
Location 2940 E 8th StTraverse City, MI 49686-2893 · Phone (231) 346-5216
Location 3441 E State StTraverse City, MI 49686-2603 · Phone (231) 346-5223

Other Identifiers 6

OtherSA0280010MI · Sa License - Dakoske
OtherSA0280088MI · Sa License - Phoenix
MedicaidQMP000005341779MI
OtherSA0280084MI · Sa License - The Pier
OtherSA0280085MI · Sa License - Outpatient
MedicaidQMP000005341778MI

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2157066

Addiction Treatment Services, Inc · Traverse City, MI
Active · expires Oct 29, 2026
CLIA Number23D2157066
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorJulie L. Moore
Laboratory Phone(231) 346-5207
Laboratory LocationAddiction Treatment Services, Inc1010 S Garfield Avenue, Traverse City, MI 49686
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MARNEY WINFIELD
Counselor (Mental Health)
1010 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 346-5216
ALYSSA HANBURY LLPC
Counselor
1010 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 346-5216
LISA PECK CPRM
Peer Specialist
1010 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 346-5247
COURTNEY SHULICK
Counselor (Addiction (Substance Use Disorder))
1010 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (123) 134-6524
ZACHARY DUTMER LLMSW
Social Worker (Clinical)
1010 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 346-5238
DANIELLE MACDONALD RN
Registered Nurse
1010 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 878-4592
BRIANNA BURKE
Counselor (Addiction (Substance Use Disorder))
1010 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (123) 134-6524
MARCUS ANTHONY MUSSER
Peer Specialist
1010 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 878-4592

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 Addiction Treatment Services, Inc.'s NPI number?

The NPI number for Addiction Treatment Services, Inc. is 1629431713. It was assigned to this organization in the NPPES registry on April 5, 2016. The provider is doing business as Dakoske Hall, Outpatient, Phoenix Hall and The Pier.

Where is Addiction Treatment Services, Inc. located?

Addiction Treatment Services, Inc. is located at 1010 S Garfield Ave, Traverse City, MI 49686. The listed phone number is (231) 346-5216.

What is Addiction Treatment Services, Inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Addiction Treatment Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2157066) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Addiction Treatment Services, Inc. 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 and 1 other insurer list Addiction Treatment Services, Inc. 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 Addiction Treatment Services, Inc. was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.