Active NPI
Noor Az-Zahraa Khachab
- Counseling Psychologist
- Dearborn, MI
National Provider Identifier
1801742341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6362010311
- Practice address
- 4520 Firestone St
Dearborn, MI 48126-4602 - Phone
- (313) 470-1860
- NPI assigned
- Mar 6, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6362010311 | MI | Primary |
Addresses
Primary practice location
4520 Firestone St
Dearborn, MI 48126-4602
Mailing address
1 Millrace Court
Dearborn, MI 48126
Phone (519) 991-7999
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 |
|---|---|---|---|
| 6362010311 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1801742341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MILLRACE COURT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "519-991-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 FIRESTONE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264602",
"telephone_number": "313-470-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHACHAB",
"first_name": "NOOR AZ-ZAHRAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-06",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6362010311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.