Kim L Bishop-Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009531 Issued in MI

Practice address

18977 W 10 Mile Rd Ste 100
Southfield, MI 48075-2627

Phone

(248) 327-6593

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Water Support Services LLC

  • Professional Counselor
  • Southfield, MI
  • NPI 1598134983
  Medicare reassignment NPD Authorized official
• Life Water Counseling & Support PLLC

  • Professional Counselor
  • Southfield, MI
  • NPI 1528946746
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1295758050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18977 W 10 MILE RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752627",
            "telephone_number": "734-444-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18977 W 10 MILE RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752627",
            "telephone_number": "248-327-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP-JOHNSON",
        "first_name": "KIM",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birmingham Allergy Clinic PC
• Birmingham Cosmetic Surgery LLC
• Birmingham Vein Center PLLC
• Danielle Birnbaum
• Birth Prep Academy
• Daelonna Bishop
• James Bishop Jr., M.D.
• Julie Bishop
• Sidney Bishop
• Louis Bitoff Jr., DPM

• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.