Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1649642877 Deactivated / Inactive NPI Female Practitioner

Mariam Mukhtar

Psychologist - Counseling • Lansing, MI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mariam Mukhtar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2015
NPI Deactivation Date May 20, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

Mariam Mukhtar was a registered Psychologist - Counseling practicing in Lansing, MI. Throughout an active medical career spanning 5 years, Mariam Mukhtar provided care at the practice location at 1701 LAKE LANSING RD until profile deactivation on 2020-05-20.

Practice Location & Contact Primary Location

Practice Address

1701 Lake Lansing Rd

Lansing, MI 489123798

Telephone 8104947180
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Lansing, MI (599 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-20
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License MI 6301017146

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Paige Malay

Social Worker - Clinical

NPI 1003300542
NPI 1023509155

Licensed Master Social Worker

Sharee Cesarov , LPC

Counselor - Professional

NPI 1023622974

Licensed Professional Counselor

Jennifer Newman , LLPC

Counselor - Professional

NPI 1033708516
Gianna Casaburo , LLMFT

Marriage & Family Therapist

NPI 1053804260
Lisa Rae , MSW

Social Worker - Clinical

NPI 1053980326

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 22, 2024

Registered at 1701 LAKE LANSING RD, LANSING, MI 489123798 (Tel: 8104947180)

📍
Updated Business Mailing Address October 22, 2024

Registered at 1575 CRANWOOD CT, OKEMOS, MI 488642303 (Tel: 5173660977)

👤
Provider Name / Credentials Updated October 22, 2024

Recorded as MARIAM MUKHTAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2024

Psychologist (License #6301017146 in MI)

⚠️
NPI Profile Deactivated May 20, 2020

Record deactivated on May 20, 2020

📍
Updated Practice Location October 16, 2018

Registered at 1701 LAKE LANSING RD, LANSING, MI 489123798 (Tel: 8104947180)

📍
Updated Business Mailing Address October 16, 2018

Registered at 1575 CRANWOOD CT, OKEMOS, MI 488642303 (Tel: 5173660977)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2018

Psychologist (License #6301017146 in MI)

NPI Profile Active October 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2015

Registered at 80 E HANCOCK ST, APT # 609, DETROIT, MI 482011311 (Tel: 5173660977)

📍
Updated Business Mailing Address October 27, 2015

Registered at 80 E HANCOCK ST, APT # 609, DETROIT, MI 482011311 (Tel: 5173660977)

👤
Provider Name / Credentials Updated October 27, 2015

Recorded as MARIAM MUKHTAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2015

Chiropractor (License #247200000X/TECHNICIA in MI)

🟢
Initial NPI Registration & Enumeration October 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mariam Mukhtar. Be the first to share your experience!

Sign in to leave a review for Mariam Mukhtar

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1649642877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2015
Last Update: October 22, 2024
Deactivation Date: May 20, 2020
Sole Proprietor: No

Mailing Address

1575 Cranwood Ct

Okemos, MI 488642303

Phone: 5173660977

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.