John J Michalczyk, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC1007 Issued in MD

Practice address

5407 N Charles Street
Baltimore, MD 21210-2024

Phone

(410) 433-8861

Fax

(410) 433-1249

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1902858749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 N CHARLES STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102024",
            "telephone_number": "410-433-8861",
            "fax_number": "410-433-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 N CHARLES STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102024",
            "telephone_number": "410-433-8861",
            "fax_number": "410-433-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALCZYK",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTH CARE",
            "identifier": "122244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "481450000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK/TR",
            "identifier": "288928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "264806000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405393100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BC",
            "identifier": "0012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "226149",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61030501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracie Lana Michaels-Greenberg, LCSW-C
• Annie Seema Michaels, M.D.
• Kathleen Michaels, C.R.N.A.
• Janine D Michaelson, CRNP
• Michal Tsemach Psychotherapy LLC
• Joseph Michalski
• Diane Lynn Michaud, OTA
• John Michel
• Theresa Marie Michele, M.D.
• Michele'S Haven, CDC, Inc.

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.