LIFE WATER COUNSELING & SUPPORT PLLC
NPI 1528946746
Counselor - Professional in Southfield, MI
About Life Water Counseling & Support Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE WATER COUNSELING & SUPPORT PLLC (NPI 1528946746) is a healthcare organization registered as a professional in Southfield, Michigan and active in the NPI registry since August 2025. The organization lists Kim Latease Bishop-johnson, Ceo, 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 Water Counseling & Support Pllc 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 Water Counseling & Support PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Water Counseling & Support PLLC's NPI number?
The NPI number for Life Water Counseling & Support PLLC is 1528946746. It was assigned to this organization in the NPPES registry on August 25, 2025.
Where is Life Water Counseling & Support PLLC located?
Life Water Counseling & Support PLLC is located at 23800 W 10 Mile Rd Ste 150, Southfield, MI 48033. The listed phone number is (248) 327-6593.
What is Life Water Counseling & Support PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Life Water Counseling & Support PLLC enrolled in Medicare?
Yes. Life Water Counseling & Support PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Water Counseling & Support PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Life Water Counseling & Support PLLC. 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 Water Counseling & Support PLLC accept?
Health plans from Blue Care Network of Michigan list Life Water Counseling & Support PLLC 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 Water Counseling & Support PLLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Life Water Counseling & Support Pllc · NPI 1528946746
Professional organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since August 25, 2025.
## Identity
- **NPI:** 1528946746 (Entity type: Organization)
- **Enumerated:** August 25, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Kim Bishop-Johnson, CEO
## Practice location
- **Address:** 23800 W 10 MILE RD STE 150, Southfield, MI 48033-3123
- **Phone:** (248) 327-6593
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528946746) · Data from the CMS NPPES public registry.