Ibrahim Elias Atallah, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401006157 Issued in MI

Practice address

37677 Professional Center Dr
Livonia, MI 48154-1192

Phone

(248) 636-2281

NPI assigned

Mar 26, 2007

Last updated

Mar 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Care Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Livonia, MI
  • NPI 1407430226
  Medicare reassignment NPD Authorized official
• Behavioural Health Clinic PLLC

  • Adult Mental Health Clinic/Center
  • Livonia, MI
  • NPI 1053994152
  NPD Authorized official
• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1871610576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37677 PROFESSIONAL CENTER DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37677 PROFESSIONAL CENTER DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541192",
            "telephone_number": "248-636-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLAH",
        "first_name": "IBRAHIM",
        "middle_name": "ELIAS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-00165",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006157",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "SC0000380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associates in Gastroenterology,P.C.
• Assurance Counseling, LLC
• Stephanie Asteriou
• Asthma and Allergic Disease Center of Livonia PC
• Taher Ata, MD
• Jurgita Atanaskovski
• Athletico LTD (Athletico Physical Therapy)
• Candace Atisha, PA-C
• Mariam Atisha, DDS
• Donald Eugene Atkins, DC

• Professional Counselor in Livonia, MI
• Providers in Livonia, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.