Farzana Islam

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

835 Louisa St Ste 205
Lansing, MI 48911-5200

Phone

(313) 497-2665

Fax

(313) 583-7002

NPI assigned

Jan 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• National Behavioral Therapy Services LLC

  • Community/Behavioral Health Agency
  • Bay City, MI
  • NPI 1497502504
  NPD Authorized official

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1215400262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 LOUISA ST STE 205",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115200",
            "telephone_number": "313-497-2665",
            "fax_number": "313-583-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2814 Woodcliff Cir SE",
            "address_purpose": "LOCATION",
            "city": "East Grand Rapids",
            "state": "MI",
            "postal_code": "495063155",
            "country_code": "US",
            "telephone_number": "713-448-9918",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "FARZANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2024-11-10",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iron Mitten Performance Physical Therapy, PLLC
• Shimia Isaac, D.O.
• Agnes Marie Isaacs, LSMW
• Fred Isaacs, M.D.
• Olivier Ishimwe, PHARMD
• Esraa Ismail, MD
• Muhammad Ismail, PHARMD
• Mark D. Israel, M.D.
• Hiromichi Ito, M.D.
• Omero S. Iung, M.D.

• Professional Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; 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.