KIM L BISHOP-JOHNSON
NPI 1295758050
Counselor - Professional in Southfield, MI

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
18977 W 10 MILE RD STE 100, SOUTHFIELD, MI 48075(248) 327-6593 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2025, May 7, 2025, Jul 16, 2020 and 1 more (4 updates tracked since 2020).

About Kim L Bishop-johnson NPPES

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

KIM L BISHOP-JOHNSON (NPI 1295758050) is an individual professional provider in Southfield, Michigan, licensed in Michigan (6401009531) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1295758050
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIM L BISHOP-JOHNSON
Location Address18977 W 10 MILE RD STE 100Southfield, MI 48075-2627
Mailing Address18977 W 10 Mile Rd Ste 100Southfield, MI 48075-2627 · (734) 444-8512
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 25, 2006
Last NPPES UpdateMay 29, 20254 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1295758050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401009531
18977 W 10 MILE RD STE 100, Southfield, MI 48075

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim L Bishop-johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294132833
PECOS Enrollment IDI20250602002485
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kim Bishop-johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
23800 W 10 MILE RD STE 150
Southfield, MI 48033
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
Professional
23800 W 10 MILE RD STE 150
Southfield, MI 48033
  • Reassigned Medicare billing, Michigan enrollment

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 Kim Bishop-johnson's NPI number?

The NPI number for Kim Bishop-johnson is 1295758050. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Kim Bishop-johnson located?

Kim Bishop-johnson practices at 18977 W 10 Mile Rd Ste 100, Southfield, MI 48075. The listed phone number is (248) 327-6593.

What is Kim Bishop-johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kim Bishop-johnson enrolled in Medicare?

Yes. Kim Bishop-johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kim Bishop-johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Bishop-johnson reassigns Medicare benefits to 2 organizations: Life Water Support Services LLC (Southfield, MI) and Life Water Counseling & Support PLLC (Southfield, MI). Each 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 Kim Bishop-johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Bishop-johnson 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 and 3 other insurers list Kim Bishop-johnson 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 Kim Bishop-johnson was last updated on May 29, 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.