Organization Active NPI

SS Counseling and Consulting Services, PLLC

  • Mental Health Counselor
  • Dearborn, MI
National Provider Identifier
1073269833
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SS COUNSELING AND CONSULTING SERVICES, PLLC
Practice address
23756 Michigan Ave
Dearborn, MI 48124-1853
Phone
(313) 338-6964
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Semaa Shlebah, LPC
Title
Owner
Phone
(313) 338-6964

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

23756 Michigan Ave
Dearborn, MI 48124-1853

Mailing address

PO Box 1676
Dearborn, MI 48121-1676
Phone (313) 338-6964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229003311 MI Part B Supplier - Clinic/Group Practice 0143665174 Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

22720 Michigan Ave
Dearborn, MI 48124
Phone (313) 274-3700

22720 Michigan Ave
Ste 175
Dearborn, MI 48124
Phone (248) 717-0000

23756 Michigan Ave
Dearborn, MI 48124
Phone (313) 338-6964

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1073269833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481211676",
            "telephone_number": "313-338-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23756 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241853",
            "telephone_number": "313-338-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS COUNSELING AND CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SHLEBAH",
        "authorized_official_first_name": "SEMAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-338-6964",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.