Individual provider Active NPI

Heba Al-Mugotir, LPC

  • Professional Counselor
  • Dearborn, MI
National Provider Identifier
1821519299
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64010203361 Issued in MI
Practice address
6451 Schaefer Rd
Dearborn, MI 48126-2212
Phone
(313) 945-8138
Fax
(313) 203-3390
NPI assigned
Jul 6, 2017
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64010203361 MI Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

6451 Schaefer Rd
Dearborn, MI 48126-2212

Mailing address

2651 Saulino CT
Dearborn, MI 48120-1556
Phone (138) 427-0103

Other practice location 1

330 Town Center Dr Ste 811
Dearborn, MI 48126-2738
Phone (313) 977-1143

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240812003062 MI Practitioner - Mental Health Counselor 3971041708 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64010203361MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arab Community Center for Economic and Social Services Access CurrentSince Jun 5, 2024 Accepting new patients
Inner Change LLC CurrentSince Oct 15, 2025 Accepting new patients
Access Ipa PastSince May 4, 2015 Accepting new patients

Locations

2651 Saulino Ct
Dearborn, MI 48120
Phone (313) 842-7010

330 Town Center Dr
Ste 811
Dearborn, MI 48126
Phone (313) 977-1143

6450 Maple St
Dearborn, MI 48126
Phone (313) 216-2200

6451 Schaefer Rd
Dearborn, MI 48126
Phone (313) 945-8138

4301 E 14 Mile Rd
Sterling Hts, MI 48310
Phone (586) 722-6036

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1821519299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 SAULINO CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201556",
            "telephone_number": "138-427-0103",
            "fax_number": "313-842-5150"
        },
        {
            "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": [
        {
            "address_1": "330 Town Center Dr Ste 811",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262738",
            "country_code": "US",
            "telephone_number": "313-977-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-MUGOTIR",
        "first_name": "HEBA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "64010203361",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.