| North Country Community Mental Health | |
|
1420 Plaza Dr Petoskey MI 49770-9420 | |
| (231) 439-1233 | |
| (231) 347-1241 |
| Full Name | North Country Community Mental Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1420 Plaza Dr, Petoskey, Michigan |
| Authorized Official Name and Position | Alexis Kaczynski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2313477890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Community Mental Health 1420 Plaza Dr Petoskey MI 49770-9420 Ph: (231) 439-1233 | North Country Community Mental Health 1420 Plaza Dr Petoskey MI 49770-9420 Ph: (231) 439-1233 |
| NPI Number | 1053474015 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 12/16/2015 |
| Medicare PECOS PAC ID | 8820052095 |
|---|---|
| Medicare Enrollment ID | O20041117000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053474015 | NPI | - | NPPES |
| 4476116 | Medicaid | MI | |
| 4476072 | Medicaid | MI | |
| 4476125 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Bridget S Foltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043534118 PECOS PAC ID: 5294728440 Enrollment ID: I20040405001293 |
| Provider Name | Alan Vern Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821138488 PECOS PAC ID: 8224064027 Enrollment ID: I20050713000346 |
| Provider Name | John Gherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780626788 PECOS PAC ID: 3870501398 Enrollment ID: I20060324000572 |
| Provider Name | Peter D Wilkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295784619 PECOS PAC ID: 9638060536 Enrollment ID: I20060817000147 |
| Provider Name | Sheila S Southwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669511382 PECOS PAC ID: 8820192347 Enrollment ID: I20070322000318 |
| Provider Name | John M Thorp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750420485 PECOS PAC ID: 1153425681 Enrollment ID: I20070322000434 |
| Provider Name | Charles H Lapo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285674028 PECOS PAC ID: 8820001142 Enrollment ID: I20070406000148 |
| Provider Name | Daniel K Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619014735 PECOS PAC ID: 6800991555 Enrollment ID: I20070425000221 |
| Provider Name | Dale D Owen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295803138 PECOS PAC ID: 5890876114 Enrollment ID: I20080112000141 |
| Provider Name | Tamlynn L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336113216 PECOS PAC ID: 6608950944 Enrollment ID: I20080226000514 |
| Provider Name | Kenneth A Parada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588697718 PECOS PAC ID: 9739215948 Enrollment ID: I20100326000715 |
| Provider Name | Pamela A Agee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518160233 PECOS PAC ID: 2466584073 Enrollment ID: I20100717000131 |
| Provider Name | Lori A Katzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467516476 PECOS PAC ID: 9931397510 Enrollment ID: I20101223000273 |
| Provider Name | Jennifer Palamara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194738468 PECOS PAC ID: 2365531035 Enrollment ID: I20110104000496 |
| Provider Name | Marit E Vogel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619037462 PECOS PAC ID: 5193995876 Enrollment ID: I20110907001444 |
| Provider Name | Cynthia C Statler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649291048 PECOS PAC ID: 7911156252 Enrollment ID: I20121002000698 |
| Provider Name | Michael J Lucido |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760623433 PECOS PAC ID: 2466686209 Enrollment ID: I20131009001404 |
| Provider Name | Joann Haderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508295908 PECOS PAC ID: 1557593860 Enrollment ID: I20140418000363 |
| Provider Name | Donna A Appold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487015798 PECOS PAC ID: 4183917800 Enrollment ID: I20160718002337 |
| Provider Name | Lisa M Lederer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043536147 PECOS PAC ID: 3779863535 Enrollment ID: I20161213002144 |
| Provider Name | Jodie L Roback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689186744 PECOS PAC ID: 5890052096 Enrollment ID: I20171127000184 |
| Provider Name | Mary A Hotchkiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962822312 PECOS PAC ID: 2769714690 Enrollment ID: I20191026000084 |
| Provider Name | Emily K Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073048542 PECOS PAC ID: 1850766890 Enrollment ID: I20230405001538 |
| Provider Name | Tiffany A Kiper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326730474 PECOS PAC ID: 0042679169 Enrollment ID: I20230707002552 |
| Provider Name | Ryan W Demarsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770359176 PECOS PAC ID: 1557711975 Enrollment ID: I20231228000351 |
| Provider Name | Heather M Ionetz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073763207 PECOS PAC ID: 5193175511 Enrollment ID: I20231228000373 |
| Provider Name | Lora L Minidis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811245558 PECOS PAC ID: 1254781677 Enrollment ID: I20231228000434 |
| Provider Name | Brooke L Hawley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184163693 PECOS PAC ID: 5698125920 Enrollment ID: I20231228000947 |
| Provider Name | Christine M Dillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689949893 PECOS PAC ID: 9638529969 Enrollment ID: I20231228001109 |
| Provider Name | Adeena Stahlbuck-whittaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508632761 PECOS PAC ID: 2163872409 Enrollment ID: I20231228001225 |
| Provider Name | Christina A Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457678690 PECOS PAC ID: 2668823592 Enrollment ID: I20240104003644 |
| Provider Name | Julia A Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336611904 PECOS PAC ID: 8325499130 Enrollment ID: I20240105002188 |
| Provider Name | Joanne M Jasinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821864935 PECOS PAC ID: 7618328436 Enrollment ID: I20240105002425 |
| Provider Name | Pamala K Krasinski-wespiser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376182279 PECOS PAC ID: 2567813934 Enrollment ID: I20240110001593 |
| Provider Name | Elizabeth A King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730859224 PECOS PAC ID: 3678926417 Enrollment ID: I20240129003048 |
| Provider Name | Erin E Mallekoote |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811778699 PECOS PAC ID: 3870946437 Enrollment ID: I20240130003349 |
Up North Family Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Mitchell St Ste 11, Petoskey, MI 49770 Phone: 231-838-7837 | |
Family Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 E Lake St, Suite 7, Petoskey, MI 49770 Phone: 231-838-8560 Fax: 231-344-6003 | |
Mclaren Northern Michigan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4000 Fax: 231-487-7721 | |
Northstar Counseling And Herbals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 E Lake St, Suite #2, Petoskey, MI 49770 Phone: 231-392-6957 | |
Psychnorth Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2202 Mitchell Park Dr, Ste 5, Petoskey, MI 49770 Phone: 231-348-5018 Fax: 844-711-0200 | |
Collective Impact Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 616 Elizabeth St, Petoskey, MI 49770 Phone: 231-758-6776 |