LIFE BRIDGE THERAPY SERVICES LLC
NPI 1811510308
Counselor - Mental Health in Lyndhurst, OH
About Life Bridge Therapy Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE BRIDGE THERAPY SERVICES LLC (NPI 1811510308) is a healthcare organization registered as a mental health in Lyndhurst, Ohio and active in the NPI registry since May 2020. The organization lists Kelvette Beacham, Founder, 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 Bridge Therapy Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Life Bridge Therapy Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Bridge Therapy Services LLC's NPI number?
The NPI number for Life Bridge Therapy Services LLC is 1811510308. It was assigned to this organization in the NPPES registry on May 19, 2020.
Where is Life Bridge Therapy Services LLC located?
Life Bridge Therapy Services LLC is located at 5010 Mayfield Rd Ste 210, Lyndhurst, OH 44124. The listed phone number is (216) 533-2614.
What is Life Bridge Therapy Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Life Bridge Therapy Services LLC enrolled in Medicare?
Yes. Life Bridge Therapy Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Bridge Therapy Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Life Bridge Therapy Services LLC, in Clinical Social Worker and Mental Health Counselor. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Life Bridge Therapy Services LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Life Bridge Therapy 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 Bridge Therapy Services LLC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Bridge Therapy Services Llc · NPI 1811510308
Mental Health organization in Lyndhurst, Ohio. Organization record, active in the CMS NPPES registry since May 19, 2020.
## Identity
- **NPI:** 1811510308 (Entity type: Organization)
- **Enumerated:** May 19, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kelvette Beacham, FOUNDER
## Practice location
- **Address:** 5010 MAYFIELD RD STE 210, Lyndhurst, OH 44124-2692
- **Phone:** (216) 533-2614
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Mental Health Counselor (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1811510308) · Data from the CMS NPPES public registry.