Active NPI
Michele Earl Waldman, MA, MFT
- Mental Health Counselor
- Potomac, MD
National Provider Identifier
1629854682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCM844
- Practice address
- 10700 Red Barn LN
Potomac, MD 20854-1906 - Phone
- (415) 726-3494
- NPI assigned
- Sep 6, 2023
- Last updated
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 94781 | CA | |
| Mental Health Counselor | 101YM0800X | LCM844 | MD | Primary |
Addresses
Primary practice location
10700 Red Barn LN
Potomac, MD 20854-1906
Mailing address
10700 Red Barn LN
Potomac, MD 20854-1906
Phone (415) 726-3494
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94781 | CA | MD | Mental Health Counselor |
| LCM844 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1629854682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 RED BARN LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541906",
"telephone_number": "415-726-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 RED BARN LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541906",
"telephone_number": "415-726-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "MICHELE",
"middle_name": "EARL",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "94781",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LCM844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
- Joanne C Ugolini, PSY.D.
- Michael Ojiabo Ukoha, DPT
- Varsha Wellness
- Victory Communication Services, LLC (Cassandra Peters-Johnson, PhD, CCC-SLP)
- Anastasia Vinnikova, LMSW
- Walgreen Co (Walgreens #17638)
- Walgreen Co (Walgreens #11123)
- Walgreen Co. (Walgreens #17638)
- Kelly Walsh, MA, CAS, NCSP
- Monika M Walters, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.