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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LOST LAKE HEALING
NPI 1104732155
Social Worker - Clinical in Remus, MI

Active since August 20, 2026
13419 SWISTIER DR, REMUS, MI 49340(231) 408-7866 Get Directions Write a Review

NPPES record added: September 19, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 19, 2026, Aug 20, 2026 (2 updates tracked since 2026).

About Lost Lake Healing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOST LAKE HEALING (NPI 1104732155) is a healthcare organization registered as a clinical in Remus, Michigan and active in the NPI registry since August 2026. The organization lists Mckenna Jo Nivison, Owner/outpatient Therapist, as its authorized official.

NPPES Registry Identity

NPI1104732155
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLOST LAKE HEALING
Location Address13419 SWISTIER DRRemus, MI 49340-9381
Mailing Address13419 Swistier DrRemus, MI 49340-9381 · (231) 408-7866
Phone(231) 408-7866
Organization SubpartNo
Authorized OfficialMckenna Jo NivisonOwner/outpatient Therapist · (231) 408-7866
Enumeration DateAugust 20, 2026
Last NPPES UpdateSeptember 19, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2026
✔ NPI 1104732155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
13419 SWISTIER DR, Remus, MI 49340
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lost Lake Healing's NPI number?

The NPI number for Lost Lake Healing is 1104732155. It was assigned to this organization in the NPPES registry on August 20, 2026.

Where is Lost Lake Healing located?

Lost Lake Healing is located at 13419 Swistier Dr, Remus, MI 49340. The listed phone number is (231) 408-7866.

What is Lost Lake Healing's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Lost Lake Healing was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.