Individual provider

Diane Lissfelt, LMSW, ACSW, CAC-1

Addiction (Substance Use Disorder) Counselor Social Worker Medicare enrolled

Diane Lissfelt, LMSW, ACSW, CAC-1 is an Addiction (Substance Use Disorder) Counselor in Cheboygan, MI, registered under NPI 1124176995. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 6948 N BLACK RIVER RD, Cheboygan, MI 49721. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6948 N BLACK RIVER RD, Cheboygan, MI 49721 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1-03082 MI Addiction (Substance Use Disorder)… primary
6801066875 MI Social Worker

This provider holds licence 1-03082 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Social Worker
PAC ID
9436143369

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 1-03082 MI primary
104100000X Social Worker 6801066875 MI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124176995 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 8, 2007
Last updatedSep 11, 2025
StatusActive
Sole proprietorYes
CredentialLMSW, ACSW, CAC-1
Practice address 6948 N BLACK RIVER RD
Cheboygan, MI 49721
(231) 625-9937
Fax (231) 625-9937
Mailing address 16231 NIPIGON RD
Cheboygan, MI 49721
Other identifiers 220128 · TRICARE (MI)
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124176995 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 1 7 6 9 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 2 7 3 9 9

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124176995?
NPI 1124176995 is the National Provider Identifier assigned to Diane Lissfelt, LMSW, ACSW, CAC-1 in Cheboygan, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Diane Lissfelt, LMSW, ACSW, CAC-1?
The phone number on file with NPPES is (231) 625-9937, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Diane Lissfelt, LMSW, ACSW, CAC-1 accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124176995 a valid number?
Yes. 1124176995 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.