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LIFE SUPPORT LLC
NPI 1437518875
Social Worker - Clinical in Grand Rapids, MI

Active since February 13, 2016
5270 NORTHLAND DR NE, GRAND RAPIDS, MI 49525(616) 690-0556 Get Directions Write a Review

NPPES record last updated: February 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Life Support Llc NPPES

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

LIFE SUPPORT LLC (NPI 1437518875) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since February 2016. The organization lists Jason Clauser, Owner, as its authorized official.

NPPES Registry Identity

NPI1437518875
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE SUPPORT LLC
Location Address5270 NORTHLAND DR NEGrand Rapids, MI 49525-1073
Mailing AddressPo Box 10Mason, MI 48854-0010 · (517) 676-9788 · Fax (517) 676-3438
Phone(616) 690-0556
Organization SubpartNo
Authorized OfficialJason ClauserOwner · (616) 690-0556
Enumeration DateFebruary 13, 2016
✔ NPI 1437518875 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.
5270 NORTHLAND DR NE, Grand Rapids, MI 49525
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Life Support Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Life Support LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jason Clauser, LMSW
Clinical Social Worker
NPI 1629397823
5270 NORTHLAND DR NE STE B
Grand Rapids, MI 49525
(616) 690-0556
✔ PECOS✔ Accepts Medicare0.2 mi
Denise Skonieczny, R.N.
Nurse Practitioner
NPI 1528404761
2100 RAYBROOK ST SE SUITE #200
Grand Rapids, MI 49546
(616) 956-9440
✔ PECOS✔ Accepts Medicare9.3 mi
Keri Fulkerson
Clinical Social Worker
NPI 1770151797
2730 5 MILE RD NE
Grand Rapids, MI 49525
(616) 426-9159
✔ PECOS✔ Accepts Medicare17 mi
Sarah Rhein, LBSW, MA, LLPC
Mental Health Counselor
NPI 1649814906
92 N BRIDGE ST
Saranac, MI 48881
(616) 642-6466
✔ PECOS✔ Accepts Medicare21 mi
Lori Hain, LMSW
Clinical Social Worker
NPI 1609945302
412 CENTURY LN
Holland, MI 49423
(616) 396-2301
✔ PECOS✔ Accepts Medicare32 mi
Thomas Denczek, LMSW
Clinical Social Worker
NPI 1568502664
854 S WASHINGTON AVE
Holland, MI 49423
(616) 392-5141
✔ PECOS✔ Accepts Medicare34 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 Support LLC's NPI number?

The NPI number for Life Support LLC is 1437518875. It was assigned to this organization in the NPPES registry on February 13, 2016.

Where is Life Support LLC located?

Life Support LLC is located at 5270 Northland Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 690-0556.

What is Life Support LLC's specialty?

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

Is Life Support LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Life Support LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Life Support 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. The largest specialties are Clinical Social Worker (4), Mental Health Counselor (1) and Nurse Practitioner (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Life Support LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Life Support 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 Support LLC was last updated on February 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.