COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES
NPI 1780871137
Community/Behavioral Health in Ontonagon, MI
About Copper Country Community Mental Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES (NPI 1780871137) is a healthcare organization registered as a community/behavioral health in Ontonagon, Michigan and active in the NPI registry since October 2007. The organization lists Lawrence J. Pollack, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Copper Country Community Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Copper Country Community Mental Health Services, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (20)
Saint Paul, MN 55101
Ann Arbor, MI 48105
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 Copper Country Community Mental Health Services's NPI number?
The NPI number for Copper Country Community Mental Health Services is 1780871137. It was assigned to this organization in the NPPES registry on October 1, 2007.
Where is Copper Country Community Mental Health Services located?
Copper Country Community Mental Health Services is located at 515 Quartz St, Ontonagon, MI 49953. The listed phone number is (906) 884-4804.
What is Copper Country Community Mental Health Services's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Copper Country Community Mental Health Services enrolled in Medicare?
Yes. Copper Country Community Mental Health Services is registered in the Medicare PECOS enrollment system.
When is Copper Country Community Mental Health Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Copper Country Community Mental Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Copper Country 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 Psychiatry (13), Clinical Social Worker (4) and Mental Health Counselor (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Copper Country Community Mental Health Services was last updated on December 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Copper Country Community Mental Health Services · NPI 1780871137
Community/Behavioral Health organization in Ontonagon, Michigan. Organization record, active in the CMS NPPES registry since October 1, 2007.
## Identity
- **NPI:** 1780871137 (Entity type: Organization)
- **Enumerated:** October 1, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Lawrence Pollack, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 515 QUARTZ ST, Ontonagon, MI 49953-1115
- **Phone:** (906) 884-4804 · **Fax:** (906) 483-0269
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (13), Clinical Social Worker (4), Mental Health Counselor (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2008
- **Other identifiers:** Medicare PIN 0C160000; Other 10617; Medicaid 1707962 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1780871137) · Data from the CMS NPPES public registry.