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

LIFE CHANGE THERAPY LLC
NPI 1275338857
Counselor - Mental Health in Okemos, MI

Active since February 17, 2025
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864(906) 319-8725 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Jun 2, 2026, Mar 3, 2025 and 1 more (4 updates tracked since 2025).

About Life Change Therapy Llc NPPES

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

LIFE CHANGE THERAPY LLC (NPI 1275338857) is a healthcare organization registered as a mental health in Okemos, Michigan and active in the NPI registry since February 2025. The organization lists Brigid Eilleen Havens, Owner, as its authorized official.

NPPES Registry Identity

NPI1275338857
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIFE CHANGE THERAPY LLC
Location Address2222 W GRAND RIVER AVE STE AOkemos, MI 48864-1604
Mailing AddressPo Box 143Calumet, MI 49913-0143 · (906) 319-8725
Organization SubpartNo
Authorized OfficialBrigid Eilleen HavensOwner · (906) 319-8725
Enumeration DateFebruary 17, 2025
Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1275338857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2222 W GRAND RIVER AVE STE A, Okemos, MI 48864

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

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 Change Therapy 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 Life Change Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1902533805
PO BOX 143
Calumet, MI 49913
(906) 319-8725
✔ PECOS✔ Accepts Medicare369 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 Life Change Therapy LLC's NPI number?

The NPI number for Life Change Therapy LLC is 1275338857. It was assigned to this organization in the NPPES registry on February 17, 2025.

Where is Life Change Therapy LLC located?

Life Change Therapy LLC is located at 2222 W Grand River Ave Ste A, Okemos, MI 48864. The listed phone number is (906) 319-8725.

What is Life Change Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Life Change Therapy LLC enrolled in Medicare?

Yes. Life Change Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Change Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Life Change Therapy 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 Life Change Therapy LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Life Change Therapy 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 Life Change Therapy LLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.