Dejuan Dwayne Felder

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1330 Smith Ave
Baltimore, MD 21209-3878

Phone

(410) 805-1070

NPI assigned

Apr 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Divine Purpose Community Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1144788316
  NPD Authorized official
• Divine Purpose Community Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1790343762
  NPD Authorized official
• DPCS Indepdent

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1912768649
  NPD Authorized official

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629632849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SMITH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093878",
            "telephone_number": "410-805-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SMITH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093878",
            "telephone_number": "410-805-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDER",
        "first_name": "DEJUAN",
        "middle_name": "DWAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144788316",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfelder@divinepurposecs.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Divine Purpose Community Services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1330 Smith Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212093878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Elyse Feinstein, MD
• Christoforos John Fekos
• Ann Marie Felauer, APNP, CPNP
• Mark J Feld, M.D.
• Anthony Felder
• Latrina Felder
• William Ross Felder, MD
• Zakiyah Felder
• Annette Feldman, D.C.
• Aviel Feldman, LCPC

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, 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 Nov 27, 2023; 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.