Organization Active NPI

Michael R. Feldman, LLC

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1144721259
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4222 Issued in LA
Legal business name
MICHAEL R. FELDMAN, LLC
Doing business as
Roads to Wellness, Integrated Therapies TM
Practice address
12097 Old Hammond Hwy.
I-3
Baton Rouge, LA 70816-8679
Phone
(225) 412-0130
Fax
(225) 412-0140
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Michael R Feldman, L.P.C.NPI 1912284332
Title
Psychotherapist
Phone
(225) 412-0130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4222 LA Primary

Addresses

Primary practice location

12097 Old Hammond Hwy.
I-3
Baton Rouge, LA 70816-8679

Mailing address

12097 Old Hammond Hwy.
I-3
Baton Rouge, LA 70816-8679
Phone (225) 412-0130

Other identifiers 1

IdentifierTypeStateIssuer
600722912MedicaidLA

Other names 1

  • Roads to Wellness, Integrated Therapies TM Doing business as

National Provider Directory

National Provider Directory

Locations

12097 Old Hammond Hwy
Ste I3
Baton Rouge, LA 70816
Phone (225) 412-0130

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1144721259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12097 OLD HAMMOND HWY.",
            "address_2": "I-3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168679",
            "telephone_number": "225-412-0130",
            "fax_number": "225-412-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12097 OLD HAMMOND HWY.",
            "address_2": "I-3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168679",
            "telephone_number": "225-412-0130",
            "fax_number": "225-412-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. FELDMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "225-412-0130",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600722912",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roads to Wellness, Integrated Therapies TM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.