MS. LISA JEAN RATHBUN L.M.S.W., A.C.S.W.
NPI 1811056872
Counselor - Professional in Grand Rapids, MI

Q: What is Lisa Rathbun's NPI number?

The NPI number for Lisa Rathbun is 1811056872. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Lisa Rathbun's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Rathbun was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment

4477 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 726-6437(616) 957-1438 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Lisa Jean Rathbun L.m.s.w., A.c.s.w. NPPES

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

MS. LISA JEAN RATHBUN L.M.S.W., A.C.S.W. (NPI 1811056872) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6801078044) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1811056872

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. LISA JEAN RATHBUNCredential: L.M.S.W., A.C.S.W.

Location Address4477 CASCADE RD SEGrand Rapids, MI 49546-3632

Mailing Address3130 Hoehn St N.w.Grand Rapids, MI 49504-2488 · (616) 726-6437 · Fax (616) 957-1438

Phone(616) 726-6437

Fax(616) 957-1438

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811056872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6801078044

4477 CASCADE RD SE, Grand Rapids, MI 49546

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Other Identifiers 2

Medicare ID-Type UnspecifiedOP25490MI · L.m.s.w.

Other6801078044MI · S.w. Registration

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Ms. Lisa Jean Rathbun L.m.s.w., A.c.s.w. 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 ID143242065

PECOS Enrollment IDI20051220000609

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 2

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

MRS. MERRITA J TUMONONG MSW ACSW LMSW LMFT

Marriage & Family Therapist

4477 CASCADE RD SE
GRAND RAPIDS, MI 49546

Kent County (616) 240-4538

MR. JEFF D DWARSHUIS LMSW

Social Worker (Clinical)

4477 CASCADE RD SE
GRAND RAPIDS, MI 49546

Kent County (616) 443-1425

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 Rathbun's NPI number?

The NPI number for Lisa Rathbun is 1811056872. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Lisa Rathbun located?

Lisa Rathbun practices at 4477 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 726-6437.

What is Lisa Rathbun's specialty?

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

Is Lisa Rathbun enrolled in Medicare?

Yes. Lisa Rathbun 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 Rathbun accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lisa Rathbun 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 Rathbun was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.