Individual provider Active NPI

Moshe Gold

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1104737063
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
35488 Issued in MD
Practice address
3655A Old Court Rd Ste 1
Baltimore, MD 21208-3959
Phone
(410) 630-9064
NPI assigned
Sep 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 35488 MD Primary

Addresses

Primary practice location

3655A Old Court Rd Ste 1
Baltimore, MD 21208-3959

Mailing address

6422 Elray Dr Apt C
Baltimore, MD 21209-2945
Phone (912) 596-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1104737063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 ELRAY DR APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092945",
            "telephone_number": "912-596-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655A OLD COURT RD STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083959",
            "telephone_number": "410-630-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "MOSHE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "35488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.