LIFE WATER SUPPORT SERVICES LLC
NPI 1598134983
Counselor - Professional in Southfield, MI

Q: What is Life Water Support Services LLC's NPI number?

The NPI number for Life Water Support Services LLC is 1598134983. It was assigned to this organization in the NPPES registry on September 16, 2015.

Q: What is Life Water Support Services LLC's specialty?

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

Active since September 16, 2015

23800 W 10 MILE RD STE 150, SOUTHFIELD, MI 48033(248) 327-6593(248) 996-8903 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2026, Sep 2, 2025, Jan 12, 2022 and 2 more (5 updates tracked since 2020).

On this page

About Life Water Support Services Llc NPPES

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

LIFE WATER SUPPORT SERVICES LLC (NPI 1598134983) is a healthcare organization registered as a professional in Southfield, Michigan and active in the NPI registry since September 2015. The organization lists Kim Latease Bishopjohnson, Director, as its authorized official.

NPPES Registry Identity

NPI1598134983

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameLIFE WATER SUPPORT SERVICES LLC

Location Address23800 W 10 MILE RD STE 150Southfield, MI 48033-3123

Mailing Address23999 W 10 Mile Rd # 220Southfield, MI 48033-3158 · (248) 327-6593 · Fax (248) 996-8903

Phone(248) 327-6593

Fax(248) 996-8903

Organization SubpartNo

Authorized OfficialKim Latease BishopjohnsonDirector · (734) 589-1143

Enumeration DateSeptember 16, 2015

Last NPPES UpdateAugust 12, 20265 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1598134983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

23800 W 10 MILE RD STE 150, Southfield, MI 48033

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Life Water Support Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kim Bishop-Johnson

Mental Health Counselor

NPI 1295758050

18977 W 10 MILE RD STE 100
Southfield, MI 48075

(248) 327-6593

✔ PECOS✔ Accepts Medicare2.4 mi

Angela Hill-Lewis

Mental Health Counselor

NPI 1821459744

2925 RUSSELL ST
Detroit, MI 48207

(313) 396-5300

✔ PECOS15 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 Water Support Services LLC's NPI number?

The NPI number for Life Water Support Services LLC is 1598134983. It was assigned to this organization in the NPPES registry on September 16, 2015.

Where is Life Water Support Services LLC located?

Life Water Support Services LLC 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 Support Services LLC's specialty?

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

Is Life Water Support Services LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Life Water Support Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Life Water Support Services 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Life Water Support Services LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Life Water Support Services 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 Water Support Services LLC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.