Matriarch Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MATRIARCH SERVICES LLC

Practice address

3715 Glen Ave
Baltimore, MD 21215-3548

Phone

(443) 244-4211

NPI assigned

Dec 12, 2021

Organization subpart

No

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

Authorized official

Name

Joshua Kleiner, LCPC, NCC, PMH-CNPI 1265067631

Title

Licensed Mental Health Therapist

Phone

(443) 244-4211

Specialties & licenses 1

Addresses

Other names 1

• Matriarch Mental Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Kleiner, LCPC, NCC, PMH-C

  • Professional Counselor
  • Baltimore, MD
  • NPI 1265067631
  NPD Authorized official

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1093474595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 GLEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153548",
            "telephone_number": "443-244-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 GLEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153548",
            "telephone_number": "443-244-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIARCH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-12",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "KLEINER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "443-244-4211",
        "authorized_official_credential": "LCPC, NCC, PMH-C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matriarch Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matriarch Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Richard Matlaga, M.D.
• Leigh E Matlaga, M.D.
• Brett James Matoian, MD
• Andres Matoso
• Jaliah Matovu, NP
• Matrix RX
• Rebecca R Matsakis, MD
• Koji Matsuo, MD
• Tiffany Concepcion Matsuo
• Michael John Matsuura, MD

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.