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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: October 25, 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
Phone(231) 947-2255
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Youngman-loose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Rest Christian Mental Health Services
130 mi
Professional
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 135 clinicians in this Medicare group
NPI 1386015683 (616) 281-6372

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

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.

PETER D WILKINSON M.D.
Psychiatry & Neurology (Psychiatry)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-2255
KAITLYN R BURDA LMSW
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-2255
MARIAH KAY HOFF PA-C
Physician Assistant
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-5982
MRS. TERESA CIESLINSKI LMSW
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-2255
DAVID PAUL AGEE LMSW
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-2255
KRISTEN MARIE TORREZ LPC
Counselor (Professional)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-2255
GREGORY SCHROEDER LMSW
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-2255
JENNA LANG LMSW
Social Worker (Clinical)
700 HAMMOND RD E
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-2255

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.

Which organization bills Medicare for Lisa Youngman-loose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Youngman-loose reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The 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 Lisa Youngman-loose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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 23 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.