LIST PSYCHOLOGICAL SERVICES, PLC
NPI 1174267116
Social Worker - Clinical in Sandusky, MI

Q: What is List Psychological Services, Plc's NPI number?

The NPI number for List Psychological Services, Plc is 1174267116. It was assigned to this organization in the NPPES registry on April 26, 2022.

Q: What is List Psychological Services, Plc's specialty?

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

Active since April 26, 2022

33 W SANILAC RD, SANDUSKY, MI 48471(810) 667-4500 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Aug 15, 2022, Apr 26, 2022 (3 updates tracked since 2022).

On this page

About List Psychological Services, Plc NPPES

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

LIST PSYCHOLOGICAL SERVICES, PLC (NPI 1174267116) is a healthcare organization registered as a clinical in Sandusky, Michigan and active in the NPI registry since April 2022. The organization lists Jacqueline Diane List, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174267116

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameLIST PSYCHOLOGICAL SERVICES, PLC

Location Address33 W SANILAC RDSandusky, MI 48471-1036

Mailing Address443 N State StCaro, MI 48723-1539 · (989) 672-6160

Phone(810) 667-4500

Organization SubpartYes

Authorized OfficialJacqueline Diane ListCeo · (989) 672-6160

Enumeration DateApril 26, 2022

Last NPPES UpdateMay 23, 20253 updates tracked since enumeration

NPPES CertifiedMay 23, 2025

✔ NPI 1174267116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X

33 W SANILAC RD, Sandusky, MI 48471

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

List Psychological Services, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 36 clinicians reassign Medicare billing to List Psychological Services, Plc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker15

Mental Health Counselor10

Clinical Psychologist4

Nurse Practitioner3

Psychiatry3

Family Practice1

Nearest to this location (20)

See all 36

Melanie Kramer Harrington, MD

Family Practice

NPI 1548291982

5854 STATE ST
Kingston, MI 48741

(989) 683-8065

✔ PECOS✔ Accepts Medicare18 mi

Katrina Brock, LMSW

Clinical Social Worker

NPI 1285819532

110 E HURON AVE
Bad Axe, MI 48413

(989) 975-6696

✔ PECOS✔ Accepts Medicare28 mi

Cathleen Stinson, LMSW

Clinical Social Worker

NPI 1013279223

651 N STATE ST
Caro, MI 48723

(989) 673-5700

✔ PECOS✔ Accepts Medicare29 mi

Cathy Belich, LMSW

Clinical Social Worker

NPI 1235180050

651 N STATE ST
Caro, MI 48723

(989) 673-5700

✔ PECOS✔ Accepts Medicare29 mi

Steven Peters

Clinical Psychologist

NPI 1114471687

651 N STATE ST
Caro, MI 48723

(989) 673-5700

✔ PECOS✔ Accepts Medicare29 mi

Lida Blue, LPC, CAADC, LMT

Mental Health Counselor

NPI 1326298480

651 N STATE ST
Caro, MI 48723

(989) 673-5700

✔ PECOS29 mi

Ruth Kilburn-Doxey, MA, LPC

Mental Health Counselor

NPI 1093134629

651 N STATE ST
Caro, MI 48723

(989) 673-5700

✔ PECOS✔ Accepts Medicare29 mi

Danielle Peterson

Mental Health Counselor

NPI 1164109609

651 N STATE ST
Caro, MI 48723

(989) 672-6160

✔ PECOS29 mi

Roberta Weiss

Nurse Practitioner

NPI 1649638404

1070 E CARO RD
Caro, MI 48723

(989) 672-0341

✔ PECOS✔ Accepts Medicare29 mi

Rustie Mayes, LMSW

Clinical Social Worker

NPI 1629617287

1332 PROSPECT AVE.
Caro, MI 48723

(989) 673-6191

✔ PECOS✔ Accepts Medicare30 mi

Usha Movva, M.D.

Psychiatry

NPI 1609989193

2000 CHAMBERS ROAD
Caro, MI 48723

(989) 673-3191

✔ PECOS✔ Accepts Medicare31 mi

Zakeya Jones

Clinical Social Worker

NPI 1922719053

624 W NEPESSING ST STE 300
Lapeer, MI 48446

(810) 667-4500

✔ PECOS✔ Accepts Medicare35 mi

Tricia Regentin

Mental Health Counselor

NPI 1992323679

624 W NEPESSING ST
Lapeer, MI 48446

(989) 672-6160

✔ PECOS✔ Accepts Medicare35 mi

Michael Ingram, MD

Psychiatry

NPI 1295767283

690 S TRUMBULL
Bay City, MI 48708

(989) 922-4900

✔ PECOS✔ Accepts Medicare53 mi

Melissa Wazny, PMHNP-BC

Nurse Practitioner

NPI 1114707445

3085 HALLMARK CT STE 1
Saginaw, MI 48603

(989) 996-0566

✔ PECOS✔ Accepts Medicare58 mi

Ali Ibrahim, M.D.

Psychiatry

NPI 1710089388

3085 HALLMARK CT STE 1
Saginaw, MI 48603

(989) 996-0566

✔ PECOS✔ Accepts Medicare58 mi

Shai Brosh, PHD

Clinical Psychologist

NPI 1417289125

3201 HALLMARK CT
Saginaw, MI 48603

(989) 790-5990

✔ PECOS✔ Accepts Medicare58 mi

Janet Fulgenzi, PHD

Clinical Psychologist

NPI 1164699617

5800 WEISS STREET
Saginaw, MI 48603

(989) 797-6682

✔ PECOS✔ Accepts Medicare60 mi

Sarah Brooks, NP

Nurse Practitioner

NPI 1851737027

218 FAST ICE DR
Midland, MI 48642

(989) 631-2320

✔ PECOS✔ Accepts Medicare69 mi

Kathleen Cusick, PSYD

Clinical Psychologist

NPI 1679121461

135 S PROSPECT ST
Ypsilanti, MI 48198

(248) 719-2845

✔ PECOS✔ Accepts Medicare91 mi

See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 List Psychological Services, Plc's NPI number?

The NPI number for List Psychological Services, Plc is 1174267116. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is List Psychological Services, Plc located?

List Psychological Services, Plc is located at 33 W Sanilac Rd, Sandusky, MI 48471. The listed phone number is (810) 667-4500.

What is List Psychological Services, Plc's specialty?

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

Is List Psychological Services, Plc enrolled in Medicare?

Yes. List Psychological Services, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through List Psychological Services, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 6 Medicare specialties reassign their Medicare billing to List Psychological Services, Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (15), Mental Health Counselor (10) and Clinical Psychologist (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does List Psychological Services, Plc accept?

Health plans from Blue Care Network of Michigan list List Psychological Services, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for List Psychological Services, Plc was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.