Rebecca Ann Lederman, LCPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC15450 Issued in MD

Practice address

617 Franklin Ave Ste 19
Berlin, MD 21811-1358

Phone

(443) 252-3369

NPI assigned

Aug 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 21, 2024 through Sep 21, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Calm Minds Healing Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berlin, MD
  • NPI 1275232571
  NPD Authorized official

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

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1497483796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINEHURST RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111620",
            "telephone_number": "443-252-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 FRANKLIN AVE STE 19",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111358",
            "telephone_number": "443-252-3369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pinehurst Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111620",
            "country_code": "US",
            "telephone_number": "443-359-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-13",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCPC15450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Catherine Laustsen, PHYSICIAN ASSISTANT
• Thomas P Lawrence, MD
• Marquese Lawson
• Tyahanna Lawson
• Katherine Rae Lazenby
• Ching-Hsien Jessica Lee, MD, PHD
• Lauren Cosetti Lee
• Jennifer Claire Leggour, PSYH
• Maureen Seyford Leser, R.D.
• Marie Mastromatteo Liddick

• Mental Health Counselor in Berlin, MD
• Providers in Berlin, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.