Katherine Lister LMSW PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KATHERINE LISTER LMSW PLLC

Practice address

255 Seminole Rd Ste 205
Norton Shores, MI 49444-3758

Phone

(616) 808-7262

Fax

(844) 647-9797

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Katherine Lister, LMSWNPI 1821319666

Title

Manager

Phone

(616) 808-7262

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Lister, LCSW

  • Clinical Social Worker
  • Littleton, CO
  • NPI 1821319666

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1205402880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W FENNWOOD CIR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494452484",
            "telephone_number": "616-808-7262",
            "fax_number": "844-647-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SEMINOLE RD STE 205",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443758",
            "telephone_number": "616-808-7262",
            "fax_number": "844-647-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE LISTER LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "LISTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-808-7262",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@katherinelisterlmsw.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "255 Seminole Rd Ste 205",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494443758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine L Junglas, PT
• Just Love Therapy & Wellness Center, PLLC
• Craig Kadrich
• Brandy Kaiser, LMSW
• Lily Kaiser
• Brian Keenoy, DPT
• Michael Keller
• Brenna Shawn Kelley, CPM
• Rebecca Lynn Kelly, PT, DPT
• Kristen Kennedy, MA, LPC, NCC

• Mental Health Counselor in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.