Individual provider Active NPI

Haitham A Safo, LPC

  • Mental Health Counselor
  • Sterling Heights, MI
National Provider Identifier
1124392071
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401009738 Issued in MI
Practice address
2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-5232
Phone
(313) 283-7981
NPI assigned
Feb 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401009738 MI Primary

Addresses

Primary practice location

2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-5232

Mailing address

2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-5232
Phone (313) 283-7981

Other identifiers 1

IdentifierTypeStateIssuer
6401009738OtherMILISCENCE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250708002813 MI Practitioner - Mental Health Counselor 8022320241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care and Transformation CenterGroup PAC ID 7214249424, 3 clinicians

Practice addresses (Care Compare)

2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-4842
Phone (586) 983-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care and Transformation Center CurrentSince Jun 1, 2025 Accepting new patients

Locations

2311 15 Mile Rd
Sterling Heights, MI 48310
Phone (586) 795-1390

2311 15 Mile Rd
Ste A
Sterling Hts, MI 48310
Phone (586) 795-1390

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1124392071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 15 MILE RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105232",
            "telephone_number": "313-283-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 15 MILE RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105232",
            "telephone_number": "313-283-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFO",
        "first_name": "HAITHAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE NUMBER",
            "identifier": "6401009738",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.