Active NPI
Matthew Elliott Fishleder, LCMFT, LMFT
- Marriage & Family Therapist
- Germantown, MD
National Provider Identifier
1174791354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCM850
- Practice address
- 13606 Autumn Trail Dr
Germantown, MD 20874-2955 - Phone
- (301) 453-2527
- NPI assigned
- Feb 11, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717002595 | VA | |
| Marriage & Family Therapist | 106H00000X | 100802 | CA | |
| Marriage & Family Therapist | 106H00000X | LCM850 | MD | Primary |
Addresses
Primary practice location
13606 Autumn Trail Dr
Germantown, MD 20874-2955
Mailing address
13606 Autumn Trail Dr
Germantown, MD 20874-2955
Phone (301) 453-2527
Other practice location 1
10810 Darnestown Rd Ste 103
North Potomac, MD 20878-2604
Phone (301) 869-1017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241209000424 | DC | Practitioner - Marriage and Family Therapist | 2769928449 | Practice locations: Germantown, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100802 | CA | MD | Marriage & Family Therapist |
| LCM850 | MD | MD | Marriage & Family Therapist |
| 0717002595 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1174791354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13606 AUTUMN TRAIL DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742955",
"telephone_number": "301-453-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13606 AUTUMN TRAIL DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742955",
"telephone_number": "301-453-2527"
}
],
"practiceLocations": [
{
"address_1": "10810 Darnestown Rd Ste 103",
"address_purpose": "LOCATION",
"city": "North Potomac",
"state": "MD",
"postal_code": "208782604",
"country_code": "US",
"telephone_number": "301-869-1017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHLEDER",
"first_name": "MATTHEW",
"middle_name": "ELLIOTT",
"name_prefix": "Mr.",
"credential": "LCMFT, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717002595",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100802",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LCM850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.