Organization Active NPI

Mustard Seed Family Counseling LLC

Doing business as Mustard Seed Family Counseling

  • Professional Counselor
  • Sterling Heights, MI
National Provider Identifier
1366905408
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MUSTARD SEED FAMILY COUNSELING LLC
Doing business as
Mustard Seed Family Counseling
Practice address
33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967
Phone
(586) 354-1489
Fax
(586) 803-4289
NPI assigned
Apr 6, 2019
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Lyana Hattar, LPCNPI 1730335647
Title
Chief Executive Officer (Ceo)
Phone
(586) 354-1489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967

Mailing address

PO Box 182399
Shelby Township, MI 48318-2399
Phone (586) 354-1489

Other identifiers 1

IdentifierTypeStateIssuer
1366905408MedicaidMI

Other names 1

  • Mustard Seed Family Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201022000985 MI Part B Supplier - Clinic/Group Practice 3870913361 Receives reassigned benefits from 5 practitioners
Practice locations: Sterling Heights, MI
O20241115002966 OH Part B Supplier - Clinic/Group Practice 3870913361 Receives reassigned benefits from 2 practitioners
Practice locations: Sylvania, OH

National Provider Directory

National Provider Directory

Locations

13854 Lakeside Cir
Ste 241
Sterling Heights, MI 48313

2311 15 Mile Rd
Ste A1
Sterling Heights, MI 48310
Phone (586) 354-1489

33200 Dequindre Rd
Ste 100
Sterling Heights, MI 48310
Phone (583) 354-1489

5808 Monroe St
Ste A2
Sylvania, OH 43560
Phone (419) 276-3556

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1366905408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182399",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483182399",
            "telephone_number": "586-354-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-354-1489",
            "fax_number": "586-803-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEED FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "HATTAR",
        "authorized_official_first_name": "LYANA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "586-354-1489",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366905408",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mustard Seed Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.