Individual provider Active NPI

Caitlin Lister, MSW, CBHCM

  • Mental Health Counselor
  • Okeechobee, FL
National Provider Identifier
1639616501
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
304 NW 5TH St
Okeechobee, FL 34972-2565
Phone
(863) 357-8268
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

304 NW 5TH St
Okeechobee, FL 34972-2565

Mailing address

304 NW 5TH St
Okeechobee, FL 34972-2565
Phone (863) 357-8268

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Behavioral Health Center Inc CurrentSince Apr 28, 2024 Accepting new patients
Legacy Behavioral Health Center Inc CurrentSince Apr 28, 2024 Accepting new patients

Locations

15818 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-0411

304 NW 5th St
Okeechobee, FL 34972
Phone (863) 357-8268

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1639616501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NW 5TH ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722565",
            "telephone_number": "863-357-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NW 5TH ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722565",
            "telephone_number": "863-357-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "CAITLIN",
        "credential": "MSW, CBHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.