MS. LISA JEAN RATHBUN L.M.S.W. A.C.S.W. NPI 1811056872

NPI Information

NPI: 1811056872
Provider Name: MS. LISA JEAN RATHBUN, L.M.S.W., A.C.S.W.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
4477 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 726-6437
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MS. Lisa Jean Rathbun, L.M.S.W., A.C.S.W. is a professional counselor in Grand Rapids, MI with 25 years of experience. MS. Lisa Jean Rathbun, L.M.S.W., A.C.S.W. NPI is 1811056872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4477 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546-632
Phone: (616) 726-6437
Fax: (616) 957-1438

The NPI 1811056872 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6801078044	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OP25490	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	L.M.S.W.
2	6801078044	OTHER	MICHIGAN	S.W. REGISTRATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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