Individual provider Active NPI

Matthew Elliott Fishleder, LCMFT, LMFT

  • Marriage & Family Therapist
  • Germantown, MD
National Provider Identifier
1174791354
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM850 Issued in MD
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

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209000424 DC Practitioner - Marriage and Family Therapist 2769928449 Practice locations: Germantown, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100802CAMDMarriage & Family Therapist
LCM850MDMDMarriage & Family Therapist
0717002595VAMDMarriage & 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

Verify at the official NPI Registry.