Active NPI
Lindsay Page South, MA
- Psychologist
- Portage, MI
National Provider Identifier
1942396205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301007223
- Practice address
- 1591 W Centre St
Suite 103
Portage, MI 49024 - Phone
- (269) 323-2553
- Fax
- (289) 323-2558
- NPI assigned
- Oct 5, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401005843 | MI | |
| Psychologist | 103T00000X | 6301007223 | MI | Primary |
Addresses
Primary practice location
1591 W Centre St
Suite 103
Portage, MI 49024
Mailing address
1591 W Centre St
Suite 103
Portage, MI 49024
Phone (269) 323-2553
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401005843 | MI | MD | Mental Health Counselor |
| 6301007223 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay P South, Ma ,PLLC | Mental Health | Current | Accepting new patients |
Locations
1591 W Centre Ave
Ste 103
Portage, MI 49024
Phone (269) 323-2553
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, 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": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1942396205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1591 W CENTRE ST",
"address_2": "SUITE 103",
"city": "PORTAGE",
"state": "MI",
"postal_code": "49024",
"telephone_number": "269-323-2553",
"fax_number": "289-323-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1591 W CENTRE ST",
"address_2": "SUITE 103",
"city": "PORTAGE",
"state": "MI",
"postal_code": "49024",
"telephone_number": "269-323-2553",
"fax_number": "289-323-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTH",
"first_name": "LINDSAY",
"middle_name": "PAGE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401005843",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301007223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
- Julie Marie Sorenson, L.L.P.C.
- Ismael Hiram Soto Rivas, M.D.
- Traci Ann Soule, CTRS
- South Michigan Psychiatric Services LLC (Kalamazoo TMS & Behavioral Health)
- South Michigan Psychiatric Services LLC (South Michigan Psychiatric Services)
- Southern Michigan Pain Consultants PC (Axia Spine and Pain)
- Southerncare, Inc. (Gentiva II)
- Southwest Footcare Specialists, P.C.
- Southwest Michigan Behavioral Health
- Southwest Michigan Behavioral Health
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.