Active NPI
Irina Katz
- Counselor
- North Potomac, MD
National Provider Identifier
1154814705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC50081682
- Practice address
- 11504 Piney Lodge Rd
North Potomac, MD 20878-2444 - Phone
- (202) 854-9812
- NPI assigned
- Jun 8, 2018
- Last updated
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149020587 | IL | |
| Counselor | 101Y00000X | LC50081682 | DC | Primary |
Addresses
Primary practice location
11504 Piney Lodge Rd
North Potomac, MD 20878-2444
Mailing address
11504 Piney Lodge Rd
North Potomac, MD 20878
Phone (202) 854-9812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50081682 | DC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1154814705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11504 PINEY LODGE RD",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "20878",
"telephone_number": "202-854-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11504 PINEY LODGE RD",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782444",
"telephone_number": "202-854-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "IRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149020587",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "LC50081682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.