Assma Khatib, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015242 Issued in MI

Practice address

6451 Schaefer Rd
Dearborn, MI 48126-2212

Phone

(313) 945-8138

Fax

(313) 203-3390

NPI assigned

Jan 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

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.

• Emagine Health Services LLC

  • Behavior Analyst
  • Dearborn, MI
  • NPI 1518685460

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1457718595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261974",
            "telephone_number": "888-693-6244",
            "fax_number": "248-955-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262212",
            "telephone_number": "313-945-8138",
            "fax_number": "313-203-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "ASSMA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457718595",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafa Khansa
• Ammar Khasrachi
• Sama Khasrachi
• Ali H Khater, LLMSW
• Kamilia Khatib-Shahidi
• Basel Khatib, M.D.
• Samah Khatib, BCBA, LBA
• Kenda I Khattab
• Rolla Khattab
• Adnan A. Khazaal, D.D.S.

• Professional Counselor in Dearborn, MI
• Providers in Dearborn, 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 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.