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BEAR RIVER HEALTH
NPI 1750791505
Substance Abuse Rehabilitation Facility in Boyne Falls, MI

Active since May 02, 2014
2329 CENTER ST, BOYNE FALLS, MI 49713(231) 535-2822(231) 535-2372 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 22, 2023, Oct 5, 2022, Nov 5, 2020 and 1 more (4 updates tracked since 2019).

About Bear River Health NPPES

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

BEAR RIVER HEALTH (NPI 1750791505) is a healthcare organization registered as a substance abuse rehabilitation facility in Boyne Falls, Michigan and active in the NPI registry since May 2014. The organization maintains 8 additional practice locations and lists Jackie Dee Wurst, Financial Director, as its authorized official.

NPPES Registry Identity

NPI1750791505
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWALLOON LAKE RECOVERY LODGE, LLC
Location Address2329 CENTER STBoyne Falls, MI 49713-9268
Mailing Address2329 Center StBoyne Falls, MI 49713-9268 · (231) 535-2822 · Fax (231) 535-2372
Phone(231) 535-2822
Fax(231) 535-2372
Organization SubpartNo
Authorized OfficialJackie Dee WurstFinancial Director · (231) 758-4566
Enumeration DateMay 2, 2014
Last NPPES UpdateMarch 25, 20244 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1750791505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
2329 CENTER ST, Boyne Falls, MI 49713
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Other Names 2

Doing Business AsBear River Health
Doing Business AsBear River Outreach

Secondary Practice Locations 8

Location 1218 Water StCheboygan, MI 49721-1606 · Phone (231) 751-0070
Location 2811 Sammons StCheboygan, MI 49721 · Phone (231) 535-2822
Location 31619 West M32gaylord, MI 49735 · Phone (231) 535-2822
Location 48486 M 119Harbor Springs, MI 49740-8508 · Phone (231) 545-4141
Location 52594 Springvale RdBoyne Falls, MI 49713-9684 · Phone (231) 535-2822
Location 6906 E Bellows StMT Pleasant, MI 48858-3940 · Phone (231) 535-2822
Location 72480 W Campus DrMT Pleasant, MI 48858-5414 · Phone (231) 535-2822
Location 8910 E Bellows StMT Pleasant, MI 48858-3930 · Phone (231) 535-2822

Other Identifiers 5

OtherSA0150024MI · Lara License
OtherSA0690033MI · Lara License
OtherSA0240041MI · Lara License
Other5801000334MI · Transportation
OtherSA0150031MI · Lara License

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bear River Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bear River Health, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Brandon Mielke, PHD, LPC, NCC, CAADC
Mental Health Counselor
NPI 1760004907
1982 E MITCHELL RD
Petoskey, MI 49770
(231) 622-5800
✔ PECOS14 mi
Rosaria Vasile
Clinical Social Worker
NPI 1902377609
5679 ARAWAK PASS
Gaylord, MI 49735
(586) 337-5537
✔ PECOS20 mi
Paul Bennett, LLC
Mental Health Counselor
NPI 1043069032
906 E BELLOWS ST # 910
Mt Pleasant, MI 48858
(231) 535-2822
✔ PECOS109 mi
Jean Talsma, D.O.
General Practice
NPI 1144660200
3584 FAIRLANES AVE SW
Grandville, MI 49418
(844) 866-2898
✔ PECOS✔ Accepts Medicare162 mi
Michael Okumura, MD
Addiction Medicine
NPI 1720006224
10499 N 48TH ST
Augusta, MI 49012
(269) 282-7700
✔ PECOS✔ Accepts Medicare191 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 Walloon Lake Recovery Lodge, LLC's NPI number?

The NPI number for Walloon Lake Recovery Lodge, LLC is 1750791505. It was assigned to this organization in the NPPES registry on May 2, 2014. The provider is doing business as Bear River Health and Bear River Outreach.

Where is Walloon Lake Recovery Lodge, LLC located?

Walloon Lake Recovery Lodge, LLC is located at 2329 Center St, Boyne Falls, MI 49713. The listed phone number is (231) 535-2822.

What is Walloon Lake Recovery Lodge, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Walloon Lake Recovery Lodge, LLC enrolled in Medicare?

Yes. Walloon Lake Recovery Lodge, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Walloon Lake Recovery Lodge, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Walloon Lake Recovery Lodge, LLC, in Addiction Medicine, Clinical Social Worker, General Practice and Mental Health Counselor. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Walloon Lake Recovery Lodge, LLC 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 2 other insurers list Walloon Lake Recovery Lodge, 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 Walloon Lake Recovery Lodge, LLC was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.