Individual provider Active NPI

Mickayla Waldhauser, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1497364731
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC16004 Issued in MD
Practice address
604 Dale Ave
Baltimore, MD 21206-1305
Phone
(443) 267-2431
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC16004 MD Primary

Addresses

Primary practice location

604 Dale Ave
Baltimore, MD 21206-1305

Mailing address

604 Dale Ave
Baltimore, MD 21206-1305
Phone (443) 267-2431

Other names 1

  • Mickayla Waldhauser Other name

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
LC16004MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Haus Counseling CurrentSince May 18, 2025 Accepting new patients

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1497364731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 DALE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061305",
            "telephone_number": "443-267-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 DALE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061305",
            "telephone_number": "443-267-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDHAUSER",
        "first_name": "MICKAYLA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC16004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKAYLA",
            "last_name": "WALDHAUSER",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 9, 2026; 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.