Life Skills Village, Pllc - Medicare Mental Health Clinic in Oak Park, MI

Life Skills Village, Pllc is a medicare enrolled mental health clinic (Community/behavioral Health) in Oak Park, Michigan. The current practice location for Life Skills Village, Pllc is 25900 Greenfield Rd, Suite 100, Oak Park, Michigan. For appointments, you can reach them via phone at (248) 788-4300. The mailing address for Life Skills Village, Pllc is 20010 Farmington Rd, Livonia, Michigan and phone number is (248) 788-4300.

Life Skills Village, Pllc is licensed to practice in Michigan (license number D31065). The clinic also participates in the medicare program and its NPI number is 1629316815. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (248) 788-4300.

Contact Information

Life Skills Village, Pllc
25900 Greenfield Rd
Suite 100
Oak Park
MI 48237-1292
(248) 788-4300
(248) 605-8099

Map and Direction


Mental Health Clinic Profile

Full NameLife Skills Village, Pllc
SpecialityCommunity/Behavioral Health
Location25900 Greenfield Rd, Oak Park, Michigan
Authorized Official Name and PositionNate Gardin (COO)
Authorized Official Contact2487884300
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Life Skills Village, Pllc
20010 Farmington Rd
Livonia
MI 48152-1408

Ph: (248) 788-4300
Life Skills Village, Pllc
25900 Greenfield Rd
Suite 100
Oak Park
MI 48237-1292

Ph: (248) 788-4300

NPI Details:

NPI Number1629316815
Provider Enumeration Date01/22/2013
Last Update Date02/12/2020
Certification Date02/12/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2860624103
Medicare Enrollment IDO20140421000357

Medical Identifiers

Medical identifiers for Life Skills Village, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629316815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health D31065 (Michigan)Primary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QR0400XClinic/center - Rehabilitation (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Life Skills Village, Pllc acts as a billing entity for following providers:
Provider NameDavid Michael Cowan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1124106398
PECOS PAC ID: 0648285080
Enrollment ID: I20060207000421
Provider NameMichelle K Klaty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114104601
PECOS PAC ID: 4082632823
Enrollment ID: I20110907000830
Provider NameJeffrey D Wilbur
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700216975
PECOS PAC ID: 6002030202
Enrollment ID: I20140609001919
Provider NameAmy L Lipple
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1255798062
PECOS PAC ID: 7113211673
Enrollment ID: I20160805000413
Provider NameDestiny L Peterson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1154865590
PECOS PAC ID: 1153687348
Enrollment ID: I20171103000404
Provider NameTerese O'rourke
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1346697745
PECOS PAC ID: 2365854056
Enrollment ID: I20201222002753
Provider NameAndrea Dell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366868515
PECOS PAC ID: 7416354295
Enrollment ID: I20210921002296
Provider NameMatthew J Horne
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1639789092
PECOS PAC ID: 5698172476
Enrollment ID: I20210921002323
Provider NameJenna Suzio
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1962094151
PECOS PAC ID: 7618354788
Enrollment ID: I20220510002028
Provider NameAlissia Wells
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497479042
PECOS PAC ID: 2961878723
Enrollment ID: I20221019000891
Provider NameKatrina Langen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598526097
PECOS PAC ID: 9739522343
Enrollment ID: I20240212001184
Provider NameCamille Haslinger
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1194295287
PECOS PAC ID: 8527402700
Enrollment ID: I20240215001402
Provider NameSophia Casanova
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962276220
PECOS PAC ID: 7012355530
Enrollment ID: I20240403001965

Reviews and Comments

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Phone: 313-510-0840    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.