LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN
NPI 1205304359
Counselor - Addiction (Substance Use Disorder) in Detroit, MI
About Life Challenge Of Southeastern Michigan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN (NPI 1205304359) is a healthcare organization registered as an addiction (substance use disorder) in Detroit, Michigan and active in the NPI registry since November 2018. The organization lists Ken Keene, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Life Challenge Of Southeastern Michigan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Life Challenge Of Southeastern Michigan, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Life Challenge Of Southeastern Michigan's NPI number?
The NPI number for Life Challenge Of Southeastern Michigan is 1205304359. It was assigned to this organization in the NPPES registry on November 7, 2018.
Where is Life Challenge Of Southeastern Michigan located?
Life Challenge Of Southeastern Michigan is located at 17667 Pierson St, Detroit, MI 48219. The listed phone number is (313) 531-0111.
What is Life Challenge Of Southeastern Michigan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Life Challenge Of Southeastern Michigan enrolled in Medicare?
Yes. Life Challenge Of Southeastern Michigan is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Challenge Of Southeastern Michigan?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Life Challenge Of Southeastern Michigan, in Clinical Social Worker, Family Practice and Mental Health Counselor. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Life Challenge Of Southeastern Michigan 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 Life Challenge Of Southeastern Michigan 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 Life Challenge Of Southeastern Michigan was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Life Challenge Of Southeastern Michigan · NPI 1205304359
Addiction (Substance Use Disorder) organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since November 7, 2018.
## Identity
- **NPI:** 1205304359 (Entity type: Organization)
- **Enumerated:** November 7, 2018
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Organization subpart:** No
- **Authorized official:** Ken Keene, DIRECTOR
## Practice location
- **Address:** 17667 PIERSON ST, Detroit, MI 48219-2520
- **Phone:** (313) 531-0111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (2), Mental Health Counselor (2), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1205304359) · Data from the CMS NPPES public registry.