Individual provider Active NPI

Susan Sarafian, LPC

  • Professional Counselor
  • Clinton Township, MI
National Provider Identifier
1174695548
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401006832 Issued in MI
Practice address
43411 Garfield Rd Ste a
Clinton Township, MI 48038-1152
Phone
(586) 263-2760
Fax
(586) 263-2762
NPI assigned
Nov 14, 2006
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401006832 MI Primary

Addresses

Primary practice location

43411 Garfield Rd Ste a
Clinton Township, MI 48038-1152

Mailing address

45542 Yorkshire Dr
Macomb, MI 48044-5796
Phone (586) 263-2760

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
I20240805002050 MI Practitioner - Mental Health Counselor 9436696739 Reassigns benefits to 1 organization
Practice locations: Clinton Township, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care I of Michigan PCGroup PAC ID 9638554298, 19 clinicians

Practice addresses (Care Compare)

330 Lincoln Ave
Iron River, MI 49935-8452
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401006832MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care I of Michigan PC CurrentSince Mar 15, 2025 Accepting new patients

Locations

330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1174695548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45542 YORKSHIRE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445796",
            "telephone_number": "586-263-2760",
            "fax_number": "586-263-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43411 GARFIELD RD STE A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381152",
            "telephone_number": "586-263-2760",
            "fax_number": "586-263-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAFIAN",
        "first_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.