RUSSOM RECOVERY THERAPIES LLC
NPI 1073154837
Social Worker in Grand Rapids, MI

Q: What is Russom Recovery Therapies LLC's NPI number?

The NPI number for Russom Recovery Therapies LLC is 1073154837. It was assigned to this organization in the NPPES registry on October 3, 2019. The provider is doing business as Life Recovery Therapy.

Q: What is Russom Recovery Therapies LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since October 03, 2019

4519 CASCADE RD SE STE 5, GRAND RAPIDS, MI 49546(616) 228-2045 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2025, Apr 6, 2023, Nov 17, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Russom Recovery Therapies Llc NPPES

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

RUSSOM RECOVERY THERAPIES LLC (NPI 1073154837), doing business as Life Recovery Therapy, is a healthcare organization registered as a social worker in Grand Rapids, Michigan and active in the NPI registry since October 2019. The organization lists Mary Beth Houpt, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1073154837

Entity TypeOrganization

Primary Taxonomy104100000X

Legal Business NameRUSSOM RECOVERY THERAPIES LLC

Location Address4519 CASCADE RD SE STE 5Grand Rapids, MI 49546-8319

Mailing AddressPo Box 10Mason, MI 48854-0010

Phone(616) 228-2045

Organization SubpartNo

Authorized OfficialMary Beth HouptCredentialing · (517) 676-9797

Enumeration DateOctober 3, 2019

Last NPPES UpdateMarch 26, 20255 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1073154837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4519 CASCADE RD SE STE 5, Grand Rapids, MI 49546

Open in Google Maps ↗

Other Names 1

Doing Business AsLife Recovery Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES

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

MS. CARLEE MICHELLE WHITCOME LMSW

Social Worker

4519 CASCADE RD SE STE 5
GRAND RAPIDS, MI 49546

Kent County (616) 228-2045

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 Russom Recovery Therapies LLC's NPI number?

The NPI number for Russom Recovery Therapies LLC is 1073154837. It was assigned to this organization in the NPPES registry on October 3, 2019. The provider is doing business as Life Recovery Therapy.

Where is Russom Recovery Therapies LLC located?

Russom Recovery Therapies LLC is located at 4519 Cascade Rd SE Ste 5, Grand Rapids, MI 49546. The listed phone number is (616) 228-2045.

What is Russom Recovery Therapies LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

What insurance does Russom Recovery Therapies LLC 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 list Russom Recovery Therapies LLC 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 Russom Recovery Therapies LLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.