Shadia Ibrahim Ma LMHC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHADIA IBRAHIM MA LMHC LLC

Practice address

5 Washington St Ste 300
Valparaiso, IN 46383-4769

Phone

(219) 730-7572

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Shadia Ibrahim, LMHC

Title

Owner

Phone

(219) 730-7572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1114674124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2161",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST STE 300",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834769",
            "telephone_number": "219-730-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADIA IBRAHIM MA LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "SHADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-730-7572",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Valparaiso, IN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.