Lisa Jean Rathbun, L.M.S.W., A.C.S.W.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6801078044 Issued in MI

Practice address

4477 Cascade Rd SE
Grand Rapids, MI 49546-3632

Phone

(616) 726-6437

Fax

(616) 957-1438

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr Marcia Hollingsworth, Ed.D, PLLC

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1366835589
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811056872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 HOEHN ST N.W.",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042488",
            "telephone_number": "616-726-6437",
            "fax_number": "616-957-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463632",
            "telephone_number": "616-726-6437",
            "fax_number": "616-957-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHBUN",
        "first_name": "LISA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W., A.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6801078044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S.W. REGISTRATION",
            "identifier": "6801078044",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Kay Rastall
• Rita S Ratani, M.D.
• Erik M Ratchford, D.O.
• Bonnie Rath
• Swapnil Rajan Rath, M.D.
• Audrey Belle Rathjens
• Lisa Ratigan
• Rational Training Consultants
• Paige Nichole Ratkowski, PA-C
• Christopher Ratnasamy, MD

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.