Individual provider Active NPI

Lisa Vanhouten, L.I.S.W. - S

  • Clinical Social Worker
  • Galion, OH
National Provider Identifier
1326411463
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1302300 Issued in OH
Practice address
7807 State Route 309 Lot 1
Galion, OH 44833-9752
Phone
(419) 566-2891
Fax
(567) 393-9480
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1302300 OH Primary

Addresses

Primary practice location

7807 State Route 309 Lot 1
Galion, OH 44833-9752

Mailing address

638 S Boston St
Galion, OH 44833-3202
Phone (419) 566-2891

Other practice location 1

7807 State Route 309 Unit A
Galion, OH 44833-9752
Phone (419) 566-2891

Other identifiers 1

IdentifierTypeStateIssuer
162090MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20161116001473 OH Practitioner - Clinical Social Worker 9638458573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7807 State Route 309
Lot 1
Galion, OH 44833-9752
Phone (419) 566-2891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1302300OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Reflections, LLC Clinical CurrentSince Aug 13, 2016 Accepting new patients

Locations

7807 State Route 309
Unit A
Galion, OH 44833
Phone (419) 566-2891

100 Rogers Ln
Shelby, OH 44875
Phone (419) 347-1313

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1326411463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 S BOSTON ST",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448333202",
            "telephone_number": "419-566-2891",
            "fax_number": "567-393-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 STATE ROUTE 309 LOT 1",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448339752",
            "telephone_number": "419-566-2891",
            "fax_number": "567-393-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7807 State Route 309 Unit A",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448339752",
            "country_code": "US",
            "telephone_number": "419-566-2891",
            "fax_number": "567-393-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANHOUTEN",
        "first_name": "LISA",
        "credential": "L.I.S.W. - S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

Verify at the official NPI Registry.