Individual provider Active NPI

Lori Marie Hain, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Holland, MI
National Provider Identifier
1609945302
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
412 Century LN
Holland, MI 49423-4285
Phone
(616) 396-2301
Fax
(616) 396-8070
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Mental Health Counselor 101YM0800X 6801068474 MI

Addresses

Primary practice location

412 Century LN
Holland, MI 49423-4285

Mailing address

5900 Brookfarm Dr SE
Grand Rapids, MI 49508-6559
Phone (616) 455-6595

Other identifiers 1

IdentifierTypeStateIssuer
6801068474OtherMISOCIAL WORKER STATE LICEN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080805000571 MI Practitioner - Clinical Social Worker 3779657093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Support LLCGroup PAC ID 8527347756, 6 clinicians

Practice addresses (Care Compare)

2730 5 Mile Rd NE
Suite 101
Grand Rapids, MI 49525-6518
Phone (616) 915-4769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801068474MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Support LLC CurrentSince Jul 29, 2022 Accepting new patients
Summit Pointe CurrentSince Sep 15, 2010 Accepting new patients

Locations

8472 Reliable Pkwy
Chicago, IL 60686

140 Michigan Ave W
Battle Creek, MI 49017
Phone (269) 966-1460

2730 5 Mile Rd NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 426-9401

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609945302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BROOKFARM DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495086559",
            "telephone_number": "616-455-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234285",
            "telephone_number": "616-396-2301",
            "fax_number": "616-396-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIN",
        "first_name": "LORI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801068474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER STATE LICEN",
            "identifier": "6801068474",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.