Individual provider Active NPI

Laura Goldstein, LCMFT

  • Marriage & Family Therapist
  • Rockville, MD
National Provider Identifier
1568976686
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM625 Issued in MD
Practice address
6214 Montrose Rd
Rockville, MD 20852
Phone
(240) 772-1555
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LCM625 MD Primary

Addresses

Primary practice location

6214 Montrose Rd
Rockville, MD 20852

Mailing address

3206 Tower Oaks Blvd Ste 300
Rockville, MD 20852-4220
Phone (240) 772-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 4, 2024 through Mar 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCM625MDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Counseling Center, LLC Marriage & Family Therapist CurrentSince Oct 27, 2019 Accepting new patients

Locations

3206 Tower Oaks Blvd
Ste 300
Rockville, MD 20852
Phone (240) 339-3033

6214 Montrose Rd
Rockville, MD 20852
Phone (240) 552-6933

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1568976686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 TOWER OAKS BLVD STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524220",
            "telephone_number": "240-772-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "240-772-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "LAURA",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.