LIFE SKILLS VILLAGE, PLLC
NPI 1629316815
Community/Behavioral Health in Oak Park, MI
About Life Skills Village, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE SKILLS VILLAGE, PLLC (NPI 1629316815) is a healthcare organization registered as a community/behavioral health in Oak Park, Michigan and active in the NPI registry since January 2013. The organization maintains a secondary practice location in Flint and lists Nate Gardin, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 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 Skills Village, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Life Skills Village, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
Bloomfield Hills, MI 48302
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 Skills Village, PLLC's NPI number?
The NPI number for Life Skills Village, PLLC is 1629316815. It was assigned to this organization in the NPPES registry on January 22, 2013.
Where is Life Skills Village, PLLC located?
Life Skills Village, PLLC is located at 25900 Greenfield Rd Suite 100, Oak Park, MI 48237. The listed phone number is (248) 788-4300.
What is Life Skills Village, PLLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Life Skills Village, PLLC enrolled in Medicare?
Yes. Life Skills Village, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Skills Village, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Life Skills Village, 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. The largest specialties are Occupational Therapist in Private Practice (6), Physical Therapist in Private Practice (4) and Clinical Psychologist (3). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Life Skills Village, PLLC 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 list Life Skills Village, 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 Skills Village, PLLC was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Life Skills Village, Pllc · NPI 1629316815
Community/Behavioral Health organization in Oak Park, Michigan. Organization record, active in the CMS NPPES registry since January 22, 2013.
## Identity
- **NPI:** 1629316815 (Entity type: Organization)
- **Enumerated:** January 22, 2013
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Nate Gardin, COO
## Practice location
- **Address:** 25900 GREENFIELD RD, SUITE 100, Oak Park, MI 48237-1292
- **Phone:** (248) 788-4300 · **Fax:** (248) 605-8099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Occupational Therapist in Private Practice (6), Physical Therapist in Private Practice (4), Clinical Psychologist (3); 5 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1629316815) · Data from the CMS NPPES public registry.