Active NPI
Hassan Nabhan, LLPC
- Professional Counselor
- Dearborn Heights, MI
National Provider Identifier
1629705140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451022311
- Practice address
- 6050 Amboy St
Dearborn Heights, MI 48127-2814 - Phone
- (313) 633-3172
- NPI assigned
- Aug 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451022311 | MI | Primary |
Addresses
Primary practice location
6050 Amboy St
Dearborn Heights, MI 48127-2814
Mailing address
6050 Amboy St
Dearborn Heights, MI 48127-2814
Phone (313) 633-3172
Other practice location 1
1 Parklane Blvd Ste 1200E
Dearborn, MI 48126-4244
Phone (313) 425-5284
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022311 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1629705140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 AMBOY ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272814",
"telephone_number": "313-633-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 AMBOY ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272814",
"telephone_number": "313-633-3172"
}
],
"practiceLocations": [
{
"address_1": "1 Parklane Blvd Ste 1200E",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481264244",
"country_code": "US",
"telephone_number": "313-425-5284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NABHAN",
"first_name": "HASSAN",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451022311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.