GREAT LAKES RECOVERY CENTERS
NPI 1790558286
Clinic/Center - Rehabilitation, Substance Use Disorder in Negaunee, MI
About Great Lakes Recovery Centers NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES RECOVERY CENTERS (NPI 1790558286), doing business as Teal Lake Women's Residential, is a healthcare organization registered as a rehabilitation, substance use disorder in Negaunee, Michigan and active in the NPI registry since November 2023. The organization lists Laura Urias Giuchin, Senior Accountant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Lakes Recovery Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Great Lakes Recovery Centers, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Negaunee, MI 49866
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 Great Lakes Recovery Centers's NPI number?
The NPI number for Great Lakes Recovery Centers is 1790558286. It was assigned to this organization in the NPPES registry on November 6, 2023. The provider is doing business as Teal Lake Women's Residential.
Where is Great Lakes Recovery Centers located?
Great Lakes Recovery Centers is located at 100 Malton Rd Ste 1, Negaunee, MI 49866. The listed phone number is (906) 451-4889.
What is Great Lakes Recovery Centers's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is Great Lakes Recovery Centers enrolled in Medicare?
Yes. Great Lakes Recovery Centers is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Recovery Centers?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Great Lakes Recovery Centers. 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 Nurse Practitioner (3), Clinical Social Worker (2) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Great Lakes Recovery Centers was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Great Lakes Recovery Centers · NPI 1790558286
Rehabilitation, Substance Use Disorder organization in Negaunee, Michigan. Organization record, active in the CMS NPPES registry since November 6, 2023.
## Identity
- **NPI:** 1790558286 (Entity type: Organization)
- **Enumerated:** November 6, 2023
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** Teal Lake Women's Residential (Doing Business As)
- **Organization subpart:** Yes (part of Great Lakes Recovery Centers, Inc)
- **Authorized official:** Laura Giuchin, SENIOR ACCOUNTANT
## Practice location
- **Address:** 100 MALTON RD STE 1, Negaunee, MI 49866-2002
- **Phone:** (906) 451-4889 · **Fax:** (906) 228-8156
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Social Worker (2), Family Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2025
- **Other identifiers:** Medicaid 3272541 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1790558286) · Data from the CMS NPPES public registry.