Active NPI
Leon Kojassar Felder, LMSW
- Mental Health Counselor
- Albany, NY
National Provider Identifier
1174194823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 057278-01
- Practice address
- 355 State St
Albany, NY 12210-1242 - Phone
- (908) 246-8055
- NPI assigned
- Jul 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 057278-01 | NY | Primary |
Addresses
Primary practice location
355 State St
Albany, NY 12210-1242
Mailing address
355 State St
Albany, NY 12210-1242
Phone (908) 246-8055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057278-01 | Other | NY | NYS OFFICE OF THE PROFESSIONS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057278-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1174194823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 STATE ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122101242",
"telephone_number": "908-246-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 STATE ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122101242",
"telephone_number": "908-246-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "LEON",
"middle_name": "KOJASSAR",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-05",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "057278-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF THE PROFESSIONS",
"identifier": "057278-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.