DR. HOLLY LISTER PHD
NPI 1467950766
Psychologist - Clinical in Belleville, MI

Active since February 01, 2018PECOS EnrolledAccepts Medicare Assignment
201 3RD ST STE 200, BELLEVILLE, MI 48111(734) 697-9059 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2024, May 7, 2020 (2 updates tracked since 2020).

About Dr. Holly Lister Phd NPPES

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

DR. HOLLY LISTER PHD (NPI 1467950766) is an individual clinical provider in Belleville, Michigan, licensed in New Jersey (35SI00616900) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467950766
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HOLLY LISTERCredential: PHD
Location Address201 3RD ST STE 200Belleville, MI 48111-2605
Mailing Address3500 E Jefferson Ave Apt 221Detroit, MI 48207-4398
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 1, 2018
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1467950766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in NJ · 35SI00616900✔ Licensed in MI · 6301016769
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
201 3RD ST STE 200, Belleville, MI 48111

Other Names 1

Former Name (1)Dr. Holly Reid

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Holly Lister Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931520012
PECOS Enrollment IDI20200527002181
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Holly Lister reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 WORLDS FAIR DR
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
Family Medicine
317 GEORGE ST, FIRST FLOOR
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 60 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
201 3RD ST STE 200
BELLEVILLE, MI 48111
Nurse Practitioner
201 3RD ST STE 200
BELLEVILLE, MI 48111
Family Medicine
201 3RD ST STE 200
BELLEVILLE, MI 48111
Family Medicine (Adult Medicine)
201 3RD ST STE 200
BELLEVILLE, MI 48111
Family Medicine
201 3RD ST STE 200
BELLEVILLE, MI 48111

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 Holly Lister's NPI number?

The NPI number for Holly Lister is 1467950766. It was assigned to this individual provider in the NPPES registry on February 1, 2018. The provider is also known as Dr. Holly Reid.

Where is Holly Lister located?

Holly Lister practices at 201 3rd St Ste 200, Belleville, MI 48111. The listed phone number is (734) 697-9059.

What is Holly Lister's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Holly Lister enrolled in Medicare?

Yes. Holly Lister is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Holly Lister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Lister reassigns Medicare benefits to 2 organizations: Rutgers Health-Rwj Primary Medicine Group (Somerset, NJ) and Rutgers Health-Pcc Monument Square (New Brunswick, NJ). Each 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 Holly Lister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holly Lister was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.