Individual provider Active NPI

Lisa Ratigan

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1386486611
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801117735 Issued in MI
Practice address
640 3 Mile Rd NW Ste G
Grand Rapids, MI 49544-8209
Phone
(616) 369-8433
NPI assigned
Jun 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801117735 MI Primary

Addresses

Primary practice location

640 3 Mile Rd NW Ste G
Grand Rapids, MI 49544-8209

Mailing address

2892 Central Park Way NE Apt 204
Grand Rapids, MI 49505-3471

Other practice location 1

2892 Central Park Way NE Apt 204
Grand Rapids, MI 49505-3471
Phone (616) 581-9951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240726002801 MI Practitioner - Clinical Social Worker 2264978113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Console Counseling LLCGroup PAC ID 8224535190, 2 clinicians

Practice addresses (Care Compare)

4630 Plainfield Ave NE
Suite 100
Grand Rapids, MI 49525-1643
Phone (616) 259-4181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801117735MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Console Counseling LLC CurrentSince Oct 8, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients

Locations

400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582

4630 Plainfield Ave NE
Ste 100
Grand Rapids, MI 49525
Phone (616) 259-4181

Organizations & group practices 2

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1386486611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2892 CENTRAL PARK WAY NE APT 204",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 3 MILE RD NW STE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448209",
            "telephone_number": "616-369-8433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2892 Central Park Way NE Apt 204",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495053471",
            "country_code": "US",
            "telephone_number": "616-581-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATIGAN",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801117735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.