LISA YOUNGMAN-LOOSE LPC
NPI 1629437918
Counselor - Professional in Traverse City, MI

Active since February 16, 2016PECOS EnrolledAccepts Medicare Assignment
700 HAMMOND RD E, TRAVERSE CITY, MI 49686(231) 947-2255 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, Feb 3, 2020, Feb 16, 2016 (3 updates tracked since 2016).

About Lisa Youngman-loose Lpc NPPES

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

LISA YOUNGMAN-LOOSE LPC (NPI 1629437918) is an individual professional provider in Traverse City, Michigan, licensed in Michigan (6401017908) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629437918
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA YOUNGMAN-LOOSECredential: LPC
Location Address700 HAMMOND RD ETraverse City, MI 49686-8641
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 16, 2016
Last NPPES UpdateNovember 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1629437918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401017908
Also ListedTechnician, OtherTaxonomy 247200000X
700 HAMMOND RD E, Traverse City, MI 49686

Secondary Practice Locations 3

Location 1203 E Cayuga StBellaire, MI 49615-9180 · Phone (231) 533-8619
Location 21105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-6380 · Fax (231) 935-6920
Location 31050 Silver DrTraverse City, MI 49684-5749 · Phone (231) 947-2255

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Youngman-loose Lpc 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 ID5890145874
PECOS Enrollment IDI20240103002930
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.

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Physician Assistant
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Counselor (Professional)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686

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 Lisa Youngman-loose's NPI number?

The NPI number for Lisa Youngman-loose is 1629437918. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Lisa Youngman-loose located?

Lisa Youngman-loose practices at 700 Hammond Rd E, Traverse City, MI 49686. The listed phone number is (231) 947-2255.

What is Lisa Youngman-loose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Youngman-loose enrolled in Medicare?

Yes. Lisa Youngman-loose 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.

What insurance does Lisa Youngman-loose accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Lisa Youngman-loose 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 Lisa Youngman-loose was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.