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GREAT LAKES HOPE LLC
NPI 1275132441
Social Worker - Clinical in Muskegon, MI

Active since October 20, 2020
2687 ODAWA TRL, MUSKEGON, MI 49444(231) 670-7416 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2021, Oct 20, 2020 (2 updates tracked since 2020).

About Great Lakes Hope Llc NPPES

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

GREAT LAKES HOPE LLC (NPI 1275132441) is a healthcare organization registered as a clinical in Muskegon, Michigan and active in the NPI registry since October 2020. The organization lists Jessica Elizabeth Bennett, Member, as its authorized official.

NPPES Registry Identity

NPI1275132441
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGREAT LAKES HOPE LLC
Location Address2687 ODAWA TRLMuskegon, MI 49444-6739
Mailing Address2687 Odawa TrlMuskegon, MI 49444-6739 · (231) 670-7416
Phone(231) 670-7416
Organization SubpartNo
Authorized OfficialJessica Elizabeth BennettMember · (231) 670-7416
Enumeration DateOctober 20, 2020
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1275132441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2687 ODAWA TRL, Muskegon, MI 49444
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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Great Lakes Hope Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Lakes Hope LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Bennett, LMSW
Clinical Social Worker
NPI 1306184684
920 DIANA ST
Ludington, MI 49431
(231) 845-6294
✔ PECOS✔ Accepts Medicare55 mi

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 Great Lakes Hope LLC's NPI number?

The NPI number for Great Lakes Hope LLC is 1275132441. It was assigned to this organization in the NPPES registry on October 20, 2020.

Where is Great Lakes Hope LLC located?

Great Lakes Hope LLC is located at 2687 Odawa Trl, Muskegon, MI 49444. The listed phone number is (231) 670-7416.

What is Great Lakes Hope LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Great Lakes Hope LLC enrolled in Medicare?

Yes. Great Lakes Hope LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Hope LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Great Lakes Hope LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Hope LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Hope 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 Great Lakes Hope LLC was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.