Individual provider Active NPI

Mary Christine Atkinson, LISW

  • Counselor
  • Decorah, IA
National Provider Identifier
1487721809
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
301485 Issued in MN
Practice address
1111 Paine Street
Decorah, IA 52101
Phone
(563) 382-1900
Fax
(563) 382-1777
NPI assigned
Nov 29, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 301485 MN Primary
Social Worker 104100000X 06255 IA

Addresses

Primary practice location

1111 Paine Street
Decorah, IA 52101

Mailing address

1111 Paine Street
Decorah, IA 52101
Phone (563) 382-1900

Other names 1

  • Ms. Mary Christine Perry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
301485MNMDCounselor
06255IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Psychiatric Care PastSince Feb 18, 2024 Accepting new patients
Lighthouse Professional Counseling Services, LLC PastSince Aug 12, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487721809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PAINE STREET",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "52101",
            "telephone_number": "563-382-1900",
            "fax_number": "563-382-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PAINE STREET",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "52101",
            "telephone_number": "563-382-1900",
            "fax_number": "563-382-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "301485",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PERRY",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decorah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.