Active NPI
Michael Roy Feldman, L.P.C.
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1912284332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4222
- Practice address
- 12097 Old Hammond Hwy Ste I3
Baton Rouge, LA 70816-8679 - Phone
- (225) 412-0130
- Fax
- (225) 412-0140
- NPI assigned
- Nov 14, 2011
- Sex
- Male
- 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 | 4222 | LA | Primary |
Addresses
Primary practice location
12097 Old Hammond Hwy Ste I3
Baton Rouge, LA 70816-8679
Mailing address
12097 Old Hammond Hwy Ste I3
Baton Rouge, LA 70816-8679
Phone (225) 412-0130
Other practice location 1
8752 Quarters Lake Rd
Building #9
Baton Rouge, LA 70809-7306
Phone (225) 922-9122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600722912 | Medicaid | LA |
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 |
|---|---|---|---|
| 4222 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael R. Feldman, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Roads to Wellness, Integrated Therapies TM
- Professional Counselor
- Baton Rouge, LA
- NPI 1144721259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1912284332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12097 OLD HAMMOND HWY STE I3",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168679",
"telephone_number": "225-412-0130",
"fax_number": "225-412-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12097 OLD HAMMOND HWY STE I3",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168679",
"telephone_number": "225-412-0130",
"fax_number": "225-412-0140"
}
],
"practiceLocations": [
{
"address_1": "8752 Quarters Lake Rd",
"address_2": "Building #9",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708097306",
"country_code": "US",
"telephone_number": "225-922-9122",
"fax_number": "225-922-9125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELDMAN",
"first_name": "MICHAEL",
"middle_name": "ROY",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600722912",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.