Living Grateful Behavioral Health Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIVING GRATEFUL BEHAVIORAL HEALTH SERVICES, LLC

Doing business as

Living Grateful Behavioral Health Services

Practice address

209 E Washington Ave Ste 180-B
Jackson, MI 49201-2393

Phone

(517) 748-7075

Fax

(517) 518-8829

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

William Mure, LMSW, CAADCNPI 1548757503

Title

Owner

Phone

(517) 748-7075

Specialties & licenses 2

Addresses

Other names 1

• Living Grateful Behavioral Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Mure, LMSW, CAADC

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1548757503
  Medicare reassignment NPD Authorized official
• Christine Irene Peterson, LCMSW

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1225703242
  NPD (past)

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1578138087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E WASHINGTON AVE STE 180-B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012393",
            "telephone_number": "517-748-7075",
            "fax_number": "517-518-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E WASHINGTON AVE STE 180-B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012393",
            "telephone_number": "517-748-7075",
            "fax_number": "517-518-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING GRATEFUL BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "MURE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-748-7075",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Grateful Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caleb R Lippman, MD
• Joshua Gaffney Liroff, D.O.
• Amy List, PA
• Lois Eileen Littebrant, LBSW
• Cynthia Sue Livermore
• Deborah F Livingston, AU.D.
• Moriah Livingston
• Merrie Loar
• Alexis Lock
• Evans Lock, PTA

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.