Salim Yacoub, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401019825 Issued in MI

Practice address

1460 Walton Blvd Ste 60
Rochester Hills, MI 48309-1729

Phone

(248) 608-4514

NPI assigned

Jan 2, 2019

Sex

Male

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

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.

• Tree of Life Counseling Services LLC

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1023537495
  Medicare reassignment NPD
• Michael S Salter DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Rochester Hills, MI
  • NPI 1720166762
  NPD

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1033682000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27106 LARCHMONT ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD STE 60",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091729",
            "telephone_number": "248-608-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "SALIM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401019825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Y Wu, MD
• Pei-Hsuan Wu
• Zheng Wu, M.D.
• Beth Wyrybkowski, MA, TLLP
• Beverley Joyce Yachnin
• Sylvana Yalda, MD
• Hallie Yanez, DPT
• Felix Sun-Ten Yang, M.D.
• Denise Anne Yankovich, RPH
• Manuel S Yapchai, M.D.

• Mental Health Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.