Active NPI
Manal Hazime
- Mental Health Counselor
- Garden City, MI
National Provider Identifier
1396101069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401015069
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015069 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Choice Psychotherapy and Counseling Center PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Garden City, MI
- NPI 1922884683
-
- Professional Counselor
- Garden City, MI
- NPI 1023893526
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.