Active NPI
Tehila M Safren, LCGC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1548029994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP14927
- Practice address
- 17 Warren Rd
Baltimore, MD 21208-5334 - Phone
- (443) 900-8678
- NPI assigned
- Mar 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP14927 | MD | Primary |
Addresses
Primary practice location
17 Warren Rd
Baltimore, MD 21208-5334
Mailing address
3803 Menlo Dr
Baltimore, MD 21215-3414
Phone (443) 900-8678
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 |
|---|---|---|---|
| LGP14927 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1548029994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 MENLO DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153414",
"telephone_number": "443-900-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WARREN RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212085334",
"telephone_number": "443-900-8678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFREN",
"first_name": "TEHILA",
"middle_name": "M",
"credential": "LCGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP14927",
"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 Mar 18, 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.