Active NPI
SS Counseling and Consulting Services, PLLC
- Mental Health Counselor
- Dearborn, MI
National Provider Identifier
1073269833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Social Worker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240229003311 | MI | Part B Supplier - Clinic/Group Practice | 0143665174 | Practice locations: Dearborn, MI |
National Provider Directory
National Provider DirectoryLocations
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.