Active NPI
Marwa Nasser
- Professional Counselor
- Dearborn, MI
National Provider Identifier
1184139503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401017676
- Practice address
- 6450 Maple St
Dearborn, MI 48126-2259 - Phone
- (313) 203-1780
- NPI assigned
- Dec 7, 2017
- Last updated
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401017676 | MI | Primary |
Addresses
Primary practice location
6450 Maple St
Dearborn, MI 48126-2259
Mailing address
1333 Brewery Park Blvd
Detroit, MI 48207-4544
Other practice location 1
1333 Brewery Park Blvd
Detroit, MI 48207-4544
Phone (313) 656-0039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017676 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1184139503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 BREWERY PARK BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 MAPLE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262259",
"telephone_number": "313-203-1780"
}
],
"practiceLocations": [
{
"address_1": "1333 Brewery Park Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482074544",
"country_code": "US",
"telephone_number": "313-656-0039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASSER",
"first_name": "MARWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017676",
"primary": true
}
],
"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 Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.