Individual provider Active NPI

Ezra Z Feldman, LPA

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1295571818
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A0619 Issued in MD
Practice address
1501 Sulgrave Ave Ste 100a
Baltimore, MD 21209-3675
Phone
(443) 257-1270
NPI assigned
Jul 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A0619 MD Primary

Addresses

Primary practice location

1501 Sulgrave Ave Ste 100a
Baltimore, MD 21209-3675

Mailing address

2509 Summerson Rd
Baltimore, MD 21209-2515
Phone (443) 380-3954

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

LicenseStateTypeSpecialty
A0619MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Washington Psych Associates, LLC CurrentSince Jul 7, 2024 Accepting new patients

Locations

1501 Sulgrave Ave
Ste 100A
Baltimore, MD 21209
Phone (443) 257-1270

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1295571818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 SUMMERSON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092515",
            "telephone_number": "443-380-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE STE 100A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093675",
            "telephone_number": "443-257-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "EZRA",
        "middle_name": "Z",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "A0619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.