Lori A Healy, MA, LLP, CAADC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361004537 Issued in MI

Practice address

14223 S Francisco Rd
Grass Lake, MI 49240-9815

Phone

(810) 204-5731

NPI assigned

Aug 14, 2006

Last updated

Aug 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kalamazoo Probation Enhancement Program

  dba Kpep

  • Addiction (Substance Use Disorder) Counselor
  • Kalamazoo, MI
  • NPI 1922498393
  NPD (past)
• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1013920636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14223 S FRANCISCO RD",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409815",
            "telephone_number": "810-204-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14223 S FRANCISCO RD",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409815",
            "telephone_number": "810-204-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "MA, LLP, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6301010410",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010410",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361004537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "750910475",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Elizabeth Gist-Richer, LMSW
• Grass Lake Chiropractic Center, PLLC
• Grass Lake Dental Center PLLC
• Grass Lake Surgery Center LLC
• Venus Hagar
• Aydrianne Elizabeth Hofschild, MT-BC
• Madison Holcomb, R.N.
• Holly Gist-Richer LMSW PLLC
• Patty J Hopkins, FNP
• Gregory P Humbracht, CRNA

• Psychologist in Grass Lake, MI
• Providers in Grass Lake, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.