Individual provider Active NPI

Sheema A. Khan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison Heights, MI
National Provider Identifier
1346052768
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704395021 Issued in MI
Practice address
711 W 13 Mile Rd Ste 100
Madison Heights, MI 48071-1873
Phone
(248) 298-1000
Fax
(248) 298-1006
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704395021 MI Primary

Addresses

Primary practice location

711 W 13 Mile Rd Ste 100
Madison Heights, MI 48071-1873

Mailing address

4217 Newgard Dr
Lake Orion, MI 48359-2447
Phone (248) 974-0385

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027003611 MI Practitioner - Nurse Practitioner 1153810551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Psychiatric Associates PLLCGroup PAC ID 0749528636, 8 clinicians
Tri-County Counseling Services LLCGroup PAC ID 3173703907, 5 clinicians

Practice addresses (Care Compare)

28580 Orchard Lake Rd
Suite 104
Farmington Hills, MI 48334-2988
Phone (248) 865-7271

711 W 13 Mile Rd
Suite 100
Madison Heights, MI 48071-1873
Phone (248) 298-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704395021MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Counseling Services PLLC CurrentSince Sep 4, 2025 Accepting new patients

Locations

711 W 13 Mile Rd
Ste 100
Madison Heights, MI 48071
Phone (248) 298-1000

Organizations & group practices 2

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1346052768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 NEWGARD DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592447",
            "telephone_number": "248-974-0385",
            "fax_number": "248-298-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 13 MILE RD STE 100",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711873",
            "telephone_number": "248-298-1000",
            "fax_number": "248-298-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHEEMA",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704395021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.