Active NPI
Youssef Habib, LISW-S
- Mental Health Counselor
- Toledo, OH
National Provider Identifier
1477571990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I.00008690
- Practice address
- 536 Custer Dr
Toledo, OH 43612-3225 - Phone
- (419) 913-7859
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CS.00000536 | OH | |
| Clinical Social Worker | 1041C0700X | 10008690 | OH | |
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Counselor | 101YM0800X | I.00008690 | OH | Primary |
Addresses
Primary practice location
536 Custer Dr
Toledo, OH 43612-3225
Mailing address
6605 W Central Ave
Toledo, OH 43617-1000
Phone (419) 841-7701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29182269002 | Other | OH | MEDICAL MUTUAL |
| 29182269001 | Other | OH | MEDICAL MUTUAL |
Other names 1
- Joseph Habib
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CS.00000536 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I.00008690 | OH | MD | Mental Health Counselor |
| 10008690 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Paul'S Community Center | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1669943981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1477571990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6605 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171000",
"telephone_number": "419-841-7701",
"fax_number": "419-841-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 CUSTER DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436123225",
"telephone_number": "419-913-7859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABIB",
"first_name": "YOUSSEF",
"name_prefix": "Mr.",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CS.00000536",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "10008690",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I.00008690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "29182269002",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "29182269001",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPH",
"last_name": "HABIB",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.