Individual provider Active NPI

Manal Hazime

  • Mental Health Counselor
  • Garden City, MI
National Provider Identifier
1396101069
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015069 Issued in MI
Practice address
577 Inkster Rd
Garden City, MI 48135-4117
Phone
(734) 338-2148
Fax
(248) 354-4979
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015069 MI Primary

Addresses

Primary practice location

577 Inkster Rd
Garden City, MI 48135-4117

Mailing address

577 Inkster Rd
Garden City, MI 48135-4117
Phone (734) 338-2148

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m.hazim@live.com Health Information Exchange (HIE)

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
I20231209000358 MI Practitioner - Mental Health Counselor 7618326133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

577 Inkster Rd
Garden City, MI 48135-4117
Phone (734) 338-2148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015069MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Choice Psychotherapy and Counseling Center PLLC CurrentSince Aug 28, 2023 Accepting new patients
Better Choice Psychotherapy and Counseling Center Current Accepting new patients

Locations

577 Inkster Rd
Garden City, MI 48135
Phone (734) 338-2148

577 Inkster Rd
#2
Garden City, MI 48135

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1396101069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354117",
            "telephone_number": "734-338-2148",
            "fax_number": "347-338-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354117",
            "telephone_number": "734-338-2148",
            "fax_number": "248-354-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZIME",
        "first_name": "MANAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.hazim@live.com",
            "affiliation": "N",
            "endpointDescription": "Private practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mental health clinic",
            "address_1": "577 Inkster",
            "address_2": "Address 2",
            "city": "Garden city",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.