Active NPI
Luz Enriquez
- Professional Counselor
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC5361
- 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
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 |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC5361 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neta, Inc. | Current | Accepting new patients | |
| Psych Associates of Maryland LLC | Current | 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
- 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.
-
- Child & Adolescent Psychiatry Physician
- Arlington, VA
- NPI 1134506520
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.