Life Challenge of Southeastern Michigan
NPI 1205304359 · Addiction (Substance Use Disorder) Counselor · Detroit, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Challenge of Southeastern Michigan is a Addiction (Substance Use Disorder) Counselor organization in Detroit, MI (NPI 1205304359).
Provider details
- NPI number
- 1205304359
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ken Keene, Director(313) 531-0111
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
7 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
Registry dates
- Enumerated
- 2018-11-07
- Last updated
- 2018-11-07
Frequently asked questions
- What is Life Challenge of Southeastern Michigan's NPI number?
- Life Challenge of Southeastern Michigan's National Provider Identifier (NPI) is 1205304359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Challenge of Southeastern Michigan?
- Life Challenge of Southeastern Michigan is classified in the NPPES registry as Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Life Challenge of Southeastern Michigan located?
- Life Challenge of Southeastern Michigan's practice location on file with NPPES is 17667 Pierson St, Detroit, MI 48219-2520.
- What is Life Challenge of Southeastern Michigan's phone number?
- The practice phone number listed in the NPPES registry for Life Challenge of Southeastern Michigan is (313) 531-0111.
- Does Life Challenge of Southeastern Michigan accept Medicare?
- Life Challenge of Southeastern Michigan 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 Life Challenge of Southeastern Michigan?
- The authorized official listed on Life Challenge of Southeastern Michigan's NPPES record is Ken Keene, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Challenge of Southeastern Michigan's NPI active?
- Yes — Life Challenge of Southeastern Michigan's NPI (1205304359) is active in the NPPES registry as of the last update on 2018-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.