Individual provider Active NPI

Luz Enriquez

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1831502467
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5361 Issued in MD
Practice address
3800 Frederick Ave
Baltimore, MD 21229-3618
Phone
(410) 233-1400
Fax
(410) 233-1666
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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 LC5361 MD Primary

Addresses

Primary practice location

3800 Frederick Ave
Baltimore, MD 21229-3618

Mailing address

3800 Frederick Ave
Baltimore, MD 21229-3618
Phone (410) 233-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240508002866 DC Practitioner - Mental Health Counselor 8729439872 Reassigns benefits to 1 organization
I20240508002941 MD Practitioner - Mental Health Counselor 8729439872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7536
Phone (410) 823-6408

9715 Medical Ctr Dr
Suite 528
Rockville, MD 20850-3352
Phone (410) 823-6408

9891 Broken Land Pkwy
Suite 210
Columbia, MD 21046-3001
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC5361MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neta, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Apr 6, 2024 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

9715 Medical Center Dr
Ste 528
Rockville, MD 20850
Phone (301) 340-1355

2331 York Rd
Ste 100
Timonium, MD 21093

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.luzenriquez@131200.advancedmd-direct.com

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1831502467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 FREDERICK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293618",
            "telephone_number": "410-233-1400",
            "fax_number": "410-233-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FREDERICK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293618",
            "telephone_number": "410-233-1400",
            "fax_number": "410-233-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "LUZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.