Active NPI
Mary B Feldmann, LPCC, LICDC
- Mental Health Counselor
- Blue Ash, OH
National Provider Identifier
1427459742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1000047
- Practice address
- 4424 Carver Woods Dr
Blue Ash, OH 45242 - Phone
- (513) 300-3667
- Fax
- (513) 793-3661
- NPI assigned
- Sep 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.131018 | OH | |
| Mental Health Counselor | 101YM0800X | E.1000047 | OH | Primary |
Addresses
Primary practice location
4424 Carver Woods Dr
Blue Ash, OH 45242
Mailing address
4424 Carver Woods Dr Ste 100
Blue Ash, OH 45242-5535
Phone (513) 793-3661
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074946 | Other | OH | OHIO DEPARTMENT MENTAL HEALTH (ODMH) |
| 01-0693 | Other | OH | CARF CERTIFICATION |
| 0074861 | Other | OH | OHIO DEPARTMENT ALCOHOL DRUG SERVICES (ODADAS) |
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 |
|---|---|---|---|
| LICDC.131018 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.1000047 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1427459742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 CARVER WOODS DR STE 100",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425535",
"telephone_number": "513-793-3661",
"fax_number": "513-793-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 CARVER WOODS DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-300-3667",
"fax_number": "513-793-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMANN",
"first_name": "MARY",
"middle_name": "B",
"credential": "LPCC, LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.131018",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1000047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DEPARTMENT MENTAL HEALTH (ODMH)",
"identifier": "0074946",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARF CERTIFICATION",
"identifier": "01-0693",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DEPARTMENT ALCOHOL DRUG SERVICES (ODADAS)",
"identifier": "0074861",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.