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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLUE LAKES BEHAVIORAL HEALTH, LLC
NPI 1912664517
Behavior Analyst in Burton, MI

Active since November 18, 2021
1513 S CENTER RD, BURTON, MI 48509(800) 653-4077(810) 321-3002 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Sep 15, 2022, Nov 18, 2021 (3 updates tracked since 2021).

About Blue Lakes Behavioral Health, Llc NPPES

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

BLUE LAKES BEHAVIORAL HEALTH, LLC (NPI 1912664517) is a healthcare organization registered as a behavior analyst in Burton, Michigan and active in the NPI registry since November 2021. The organization lists Morgan Trojan, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1912664517
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBLUE LAKES BEHAVIORAL HEALTH, LLC
Location Address1513 S CENTER RDBurton, MI 48509-1728
Mailing Address1513 S Center RdBurton, MI 48509-1728 · Fax (810) 321-3002
Phone(800) 653-4077
Fax(810) 321-3002
Organization SubpartNo
Authorized OfficialMorgan TrojanChief Executive Officer · (810) 321-3018
Enumeration DateNovember 18, 2021
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1912664517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1513 S CENTER RD, Burton, MI 48509
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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 19

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

GRACE D JENNINGS
Behavior Technician
1513 S CENTER RD
BURTON, MI 48509
Genesee County (810) 321-3001
AUDREY LYNN KORESH MA, BCBA
Behavior Analyst
1513 S CENTER RD
BURTON, MI 48509
Genesee County (800) 653-4077
MID MICHIGAN DIAGNOSTIC CORP
Radiology (Diagnostic Radiology)
1513 S CENTER RD
BURTON, MI 48509
Genesee County (810) 742-8770
ADDISON NOELLE MCGUIRE
Behavior Technician
1513 S CENTER RD
BURTON, MI 48509
Genesee County (810) 321-3001
RHONDA JEAN MORSE NP
Nurse Practitioner (Family)
1513 S CENTER RD
BURTON, MI 48509
Genesee County (810) 742-5700
DR. JIHAD MOHAMAD NADAR MD
Family Medicine
1513 S CENTER RD
BURTON, MI 48509
Genesee County (810) 742-5700
HADY ENTERPRISES INC
Pharmacy (Community/Retail Pharmacy)
1513 S CENTER RD
BURTON, MI 48509
Genesee County (810) 309-3209
DR. KRISTIN NIKOLAKEAS D.O.
Family Medicine
1513 S CENTER RD
BURTON, MI 48509
Genesee County (810) 742-5700

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 Blue Lakes Behavioral Health, LLC's NPI number?

The NPI number for Blue Lakes Behavioral Health, LLC is 1912664517. It was assigned to this organization in the NPPES registry on November 18, 2021.

Where is Blue Lakes Behavioral Health, LLC located?

Blue Lakes Behavioral Health, LLC is located at 1513 S Center Rd, Burton, MI 48509. The listed phone number is (800) 653-4077.

What is Blue Lakes Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Blue Lakes Behavioral Health, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Blue Lakes Behavioral Health, 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 Blue Lakes Behavioral Health, LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.