Individual provider Active NPI

Rema Mourad, MA, LPC

  • Professional Counselor
  • Livonia, MI
National Provider Identifier
1194433003
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018459 Issued in MI
Practice address
33300 Five Mile Rd Ste 208
Livonia, MI 48154-3077
Phone
(734) 522-0280
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 6401018459 MI Primary

Addresses

Primary practice location

33300 Five Mile Rd Ste 208
Livonia, MI 48154-3077

Mailing address

33300 Five Mile Rd Ste 208
Livonia, MI 48154-3077

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
I20231127000528 MI Practitioner - Mental Health Counselor 9133577562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wright and Roberson LLCGroup PAC ID 2466816103, 2 clinicians

Practice addresses (Care Compare)

46775 Judd Rd
Belleville, MI 48111-8963
Phone (734) 294-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 8, 2024 Accepting new patients
Wright & Roberson LLC CurrentSince Mar 27, 2024 Accepting new patients
Oakland Psychological Clinic, P.C. Current Accepting new patients
Say More Services LLC Professional CurrentSince Feb 23, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 8, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients

Locations

25 Owen St
Belleville, MI 48111
Phone (734) 697-7880

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

16664 15 Mile Rd
Fraser, MI 48026
Phone (586) 294-3030

33300 5 Mile Rd
Ste 208
Livonia, MI 48154
Phone (734) 522-0280

847 Sumpter Rd
Van Buren Township, MI 48111
Phone (248) 567-2368

Interoperability endpoints

  • Direct secure messaging: rema.mourad.1@28621.direct.athenahealth.com

Organizations & group practices 6

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1194433003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33300 FIVE MILE RD STE 208",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 FIVE MILE RD STE 208",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543077",
            "telephone_number": "734-522-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURAD",
        "first_name": "REMA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.