Russom Recovery Therapies LLC
NPI 1073154837 · Social Worker · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russom Recovery Therapies LLC is a Social Worker organization in Grand Rapids, MI (NPI 1073154837).
Provider details
- NPI number
- 1073154837
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Beth Houpt, Credentialing(517) 676-9797
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Life Recovery Therapy
Registry dates
- Enumerated
- 2019-10-03
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Frequently asked questions
- What is Russom Recovery Therapies LLC's NPI number?
- Russom Recovery Therapies LLC's National Provider Identifier (NPI) is 1073154837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russom Recovery Therapies LLC?
- Russom Recovery Therapies LLC is classified in the NPPES registry as Social Worker (Behavioral Health & Social Service Providers).
- Where is Russom Recovery Therapies LLC located?
- Russom Recovery Therapies LLC's practice location on file with NPPES is 4519 Cascade Rd Se Ste 5, Grand Rapids, MI 49546-8319.
- What is Russom Recovery Therapies LLC's phone number?
- The practice phone number listed in the NPPES registry for Russom Recovery Therapies LLC is (616) 228-2045.
- Does Russom Recovery Therapies LLC accept Medicare?
- Russom Recovery Therapies LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Russom Recovery Therapies LLC?
- The authorized official listed on Russom Recovery Therapies LLC's NPPES record is Mary Beth Houpt, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russom Recovery Therapies LLC's NPI active?
- Yes — Russom Recovery Therapies LLC's NPI (1073154837) is active in the NPPES registry as of the last update on 2025-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.