Individual provider Active NPI

Aviel Feldman, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1578814372
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4817 Issued in MD
Practice address
2510 Lightfoot Dr
Baltimore, MD 21209-1536
Phone
(718) 501-8855
NPI assigned
Sep 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC4817 MD Primary

Addresses

Primary practice location

2510 Lightfoot Dr
Baltimore, MD 21209-1536

Mailing address

2510 Lightfoot Dr
Baltimore, MD 21209-1536
Phone (718) 501-8855

Other identifiers 1

IdentifierTypeStateIssuer
067676400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801002211 MD Practitioner - Mental Health Counselor 2668753716 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2510 Lightfoot Dr
Baltimore, MD 21209-1536
Phone (718) 501-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC4817MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Counseling Group Professional CurrentSince Sep 1, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

7211 Park Heights Ave
Ste 4
Pikesville, MD 21208
Phone (443) 681-9150

Interoperability endpoints

  • Direct secure messaging: avielfeldman@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1578814372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 LIGHTFOOT DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091536",
            "telephone_number": "718-501-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 LIGHTFOOT DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091536",
            "telephone_number": "718-501-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "AVIEL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067676400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.