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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LILLY MISTOPOULOS LLMSW
NPI 1912460106
Clinic/Center - Adolescent and Children Mental Health in Jackson, MI

Active since April 13, 2019
6700 BROWNS LAKE RD, JACKSON, MI 49201(517) 768-5200 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2026, Apr 13, 2019 (2 updates tracked since 2019).

About Lilly Mistopoulos Llmsw NPPES

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

LILLY MISTOPOULOS LLMSW (NPI 1912460106) is an individual adolescent and children mental health provider in Jackson, Michigan, licensed in Michigan (6851118260) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1912460106
Entity TypeIndividualFemale
Primary Taxonomy261QM0855X
Provider Legal NameLILLY MISTOPOULOSCredential: LLMSW
Location Address6700 BROWNS LAKE RDJackson, MI 49201-8379
Mailing Address6700 Browns Lake RdJackson, MI 49201-8379
Phone(517) 768-5200
Sole ProprietorNo
Enumeration DateApril 13, 2019
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1912460106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in MI · 6851118260
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
6700 BROWNS LAKE RD, Jackson, MI 49201
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Other Names 1

Former Name (1)Lilly Teachout

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.

JACKSON COUNTY INTERMEDIATE SCHOOL DISTRICT
Local Education Agency (LEA)
6700 BROWNS LAKE RD
JACKSON, MI 49201
Jackson County (517) 768-5200
MEREDITH CHRISTINE BERRY
Social Worker
6700 BROWNS LAKE RD
JACKSON, MI 49201
Jackson County (517) 768-5200
RACHAEL HARRIS
Social Worker
6700 BROWNS LAKE RD
JACKSON, MI 49201
Jackson County (517) 914-9272
MS. LYNNELLE ANN TANS MA, CCC-SLP
Speech-Language Pathologist
6700 BROWNS LAKE RD
JACKSON, MI 49201
Jackson County (517) 768-5200
CATHERINE COLE MORGAN LLMSW
Social Worker (School)
6700 BROWNS LAKE RD
JACKSON, MI 49201
Jackson County (517) 768-5200

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 Lilly Mistopoulos's NPI number?

The NPI number for Lilly Mistopoulos is 1912460106. It was assigned to this individual provider in the NPPES registry on April 13, 2019. The provider is also known as Lilly Teachout.

Where is Lilly Mistopoulos located?

Lilly Mistopoulos practices at 6700 Browns Lake Rd, Jackson, MI 49201. The listed phone number is (517) 768-5200.

What is Lilly Mistopoulos's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Lilly Mistopoulos was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.