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GREAT LAKES TTC,LLC
NPI 1659610608
Clinic/Center - Adult Mental Health in Petoskey, MI

Active since February 12, 2013
2206 MITCHELL PARK DR STE 10, PETOSKEY, MI 49770(231) 487-2415 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Ttc,llc NPPES

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

GREAT LAKES TTC,LLC (NPI 1659610608) is a healthcare organization registered as an adult mental health in Petoskey, Michigan and active in the NPI registry since February 2013. The organization lists Derek Everett Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1659610608
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameGREAT LAKES TTC,LLC
Location Address2206 MITCHELL PARK DR STE 10Petoskey, MI 49770-8674
Mailing Address6935 Zenith Heights RdBoyne City, MI 49712-9356 · (231) 675-5032
Phone(231) 487-2415
Organization SubpartNo
Authorized OfficialDerek Everett JohnsonOwner · (231) 487-2415
Enumeration DateFebruary 12, 2013
✔ NPI 1659610608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in MI · 6801089396
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2206 MITCHELL PARK DR STE 10, Petoskey, MI 49770
Open in Google Maps ↗

Other Identifiers 1

Other1700139904MI · Individual Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOSIE KLEINERT SCHAFER LPC
Counselor (Professional)
2206 MITCHELL PARK DR STE 10
PETOSKEY, MI 49770
Emmet County (231) 487-6076
FINITY, INC.
Health Educator
2206 MITCHELL PARK DR STE 10
PETOSKEY, MI 49770
Emmet County (231) 746-0331

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 Great Lakes Ttc,llc's NPI number?

The NPI number for Great Lakes Ttc,llc is 1659610608. It was assigned to this organization in the NPPES registry on February 12, 2013.

Where is Great Lakes Ttc,llc located?

Great Lakes Ttc,llc is located at 2206 Mitchell Park Dr Ste 10, Petoskey, MI 49770. The listed phone number is (231) 487-2415.

What is Great Lakes Ttc,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

What insurance does Great Lakes Ttc,llc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Ttc,llc 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 Great Lakes Ttc,llc was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.