Cathy Liane, MSLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP1535 Issued in MN

Practice address

4820 County Road 77
Nisswa, MN 56468-2708

Phone

(218) 821-4923

Fax

(218) 961-4923

NPI assigned

Jul 25, 2006

Last updated

Mar 21, 2024By 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 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lighthouse Counseling, Cathy Liane, M.S.L.P.,LLC

  • Cognitive & Behavioral Psychologist
  • Nisswa, MN
  • NPI 1457189359
  NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1063435543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564680068",
            "telephone_number": "218-821-4923",
            "fax_number": "218-961-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 COUNTY ROAD 77",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682708",
            "telephone_number": "218-821-4923",
            "fax_number": "218-961-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANE",
        "first_name": "CATHY",
        "credential": "MSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-03-21",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "111780",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969050600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "103209",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHP",
            "identifier": "111780",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH MEDICA",
            "identifier": "6201430",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "801312",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H059LI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Brian Johnson, DDS
• Derrek Johnson, D.C.
• Krista Johnson, O.T.
• Robert Buckner Jones Jr., M.D.
• Christopher Gordon Klabo, D.D.S.
• Lighthouse Counseling, Cathy Liane, M.S.L.P.,LLC
• Luke Waln Dentistry, PC (Nisswa Smiles)
• Minnesota Holistic Clinic LLC (Minnesota Holistic Clinic)
• Angie Jean Monson, M.S. LMFT
• Moonflower LLC

• Counseling Psychologist in Nisswa, MN
• Providers in Nisswa, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.