COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES
NPI 1780871137
Community/Behavioral Health in Ontonagon, MI

NPI Status: Active since October 01, 2007

Contact Information

515 QUARTZ ST
ONTONAGON, MI
ZIP 49953
Phone: (906) 884-4804
Fax: (906) 483-0269

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 23D2196212
  • CLIA Cert. Type: Other - COMM MENTAL HEALTH
  • CLIA Exp. Date: 10-14-2026

About COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Copper Country Community Mental Health Services, a provider established in Ontonagon, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1780871137 assigned on October 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Lawrence J. Pollack Phd. (Executive Director)

NPI
1780871137
Provider Name
COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES
Entity Type
Organization
Location Address
515 QUARTZ ST ONTONAGON, MI 49953
Location Phone
(906) 884-4804
Location Fax
(906) 483-0269
Mailing Address
901 W. MEMORIAL DR. HOUGHTON, MI 49931
Mailing Phone
(906) 482-9400
Mailing Fax
(906) 483-0269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2007
Last Update Date
12-05-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LAWRENCE J. POLLACK PHD.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(906) 482-9400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0C160000MEDICARE PIN (08) 
10617OTHER (01)BLUE CROSS BLUE SHIELD MI
1707962MEDICAID (05)MI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2196212
Facility Type
Other - COMM MENTAL HEALTH
Certificate Effective Date
October 15, 2024
Certificate Expiration Date
October 14, 2026
Laboratory Director
CARI RABOIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Copper Country Community Mental Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780871137, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 6 + 7 + 2 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1780871137.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Registered Nurse
515 QUARTZ ST
ONTONAGON, MI 49953
Social Worker (Clinical)
515 QUARTZ ST
ONTONAGON, MI 49953
Social Worker (Clinical)
515 QUARTZ ST
ONTONAGON, MI 49953
Case Manager/Care Coordinator
515 QUARTZ ST
ONTONAGON, MI 49953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780871137, enumerated as an "organization" on October 01, 2007.

The provider is located at 515 QUARTZ ST ONTONAGON, MI 49953 and the phone number is (906) 884-4804.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.