Active NPI
Lisa Karina Feldman, LISW
- Mental Health Counselor
- Rocky River, OH
National Provider Identifier
1831280999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I3926
- Practice address
- 20325 Center Ridge Road
Suite 28
Rocky River, OH 44116 - Phone
- (440) 331-5570
- Fax
- (440) 331-3321
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I3926 | OH | Primary |
Addresses
Primary practice location
20325 Center Ridge Road
Suite 28
Rocky River, OH 44116
Mailing address
19191 South Sagamore Rd
Fairview Park, OH 44126
Phone (440) 356-2335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2563542 | Medicaid | OH |
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 |
|---|---|---|---|
| I3926 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831280999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19191 SOUTH SAGAMORE RD",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "44126",
"telephone_number": "440-356-2335",
"fax_number": "440-356-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20325 CENTER RIDGE ROAD",
"address_2": "SUITE 28",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "44116",
"telephone_number": "440-331-5570",
"fax_number": "440-331-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "LISA",
"middle_name": "KARINA",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I3926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2563542",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.