MEDICARE: MS. HELENE J FELDMAN MA, LMHC, CEAP, CRC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	000163	NY
2	101YP2500X	Professional Counselor	000163	NY

General Provider Information

NPI Number	:	1740566462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HELENE J FELDMAN MA, LMHC, CEAP, CRC

Provider Business Mailing Address
First Line	:	485 CENTRAL PARK W
Second Line	:	4F
City	:	NEW YORK
State	:	NY
Zip	:	10025-3322
Country	:	US
Telephone Number	:	212-280-3791
Fax Number	:

Provider Business Practice Location Address
First Line	:	485 CENTRAL PARK W
Second Line	:	4F
City	:	NEW YORK
State	:	NY
Zip	:	10025-3322
Country	:	US
Telephone Number	:	212-280-3791
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	10/26/2011

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