Individual provider Active NPI

Lyana Victoria Hattar, LPC

  • Counselor
  • Sterling Heights, MI
National Provider Identifier
1730335647
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401008581 Issued in MI
Practice address
33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967
Phone
(586) 354-1489
Fax
(586) 803-4289
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401008581 MI Primary

Addresses

Primary practice location

33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967

Mailing address

33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967
Phone (586) 354-1489

Other identifiers 1

IdentifierTypeStateIssuer
1366905408MedicaidMI

Other names 1

  • Lyana I Safo Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ceo@mustardseedfamilycounseling.com Direct
Direct Messaging Address ceo@mustardseedfamilycounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231220002877 MI Practitioner - Mental Health Counselor 7113206046 Reassigns benefits to 1 organization
I20241115003104 OH Practitioner - Mental Health Counselor 7113206046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mustard Seed Family Counseling LLCGroup PAC ID 3870913361, 4 clinicians

Practice addresses (Care Compare)

33200 Dequindre Rd
Suite 100
Sterling Heights, MI 48310-5967
Phone (583) 354-1489

5808 Monroe St
Suite A2
Sylvania, OH 43560-2264
Phone (586) 354-1489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401008581MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mustard Seed Family Counseling LLC CurrentSince Feb 19, 2019 Accepting new patients
The Salvation Army Denby Center Past Accepting new patients
Care and Transformation Center PastSince May 1, 2016 Accepting new patients

Locations

2311 15 Mile Rd
Ste A1
Sterling Heights, MI 48310
Phone (586) 354-1489

33200 Dequindre Rd
Ste 100
Sterling Heights, MI 48310
Phone (583) 354-1489

13854 Lakeside Cir
Ste 241
Sterling Heights, MI 48313

5808 Monroe St
Ste A2
Sylvania, OH 43560
Phone (419) 276-3556

Organizations & group practices 3

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1730335647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-354-1489",
            "fax_number": "586-803-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-354-1489",
            "fax_number": "586-803-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTAR",
        "first_name": "LYANA",
        "middle_name": "VICTORIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366905408",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ceo@mustardseedfamilycounseling.com",
            "affiliation": "N",
            "endpointDescription": "cell phone number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "33200 Dequindre Rd Ste 100",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483105967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ceo@mustardseedfamilycounseling.com",
            "affiliation": "N",
            "endpointDescription": "cell phone number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "33200 Dequindre Rd Ste 100",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483105967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYANA",
            "last_name": "SAFO",
            "middle_name": "I",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.