Individual provider Active NPI

Dana Sleicher

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1366840902
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5793 Issued in MD
Practice address
1420 Medfield Ave
Baltimore, MD 21211-1527
Phone
(410) 215-3784
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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 LC5793 MD Primary

Addresses

Primary practice location

1420 Medfield Ave
Baltimore, MD 21211-1527

Mailing address

1420 Medfield Ave
Baltimore, MD 21211-1527
Phone (410) 215-3784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 24, 2024 through May 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC5793MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1366840902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MEDFIELD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111527",
            "telephone_number": "410-215-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MEDFIELD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111527",
            "telephone_number": "410-215-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEICHER",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.