Active NPI
Polly Poffenroth LLC
- Mental Health Counselor
- Rockville, MD
National Provider Identifier
1043133614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- POLLY POFFENROTH LLC
- Doing business as
- Open Heart Space Counseling
- Practice address
- 12320 Riding Fields Rd
Rockville, MD 20850-3520 - Phone
- (202) 302-0450
- NPI assigned
- Jul 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Polly Poffenroth, LCPC
- Title
- Ceo/Therapist
- Phone
- (202) 302-0450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
12320 Riding Fields Rd
Rockville, MD 20850-3520
Mailing address
12320 Riding Fields Rd
Rockville, MD 20850-3520
Phone (202) 302-0450
Other names 1
- Open Heart Space Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1043133614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12320 RIDING FIELDS RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503520",
"telephone_number": "202-302-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12320 RIDING FIELDS RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503520",
"telephone_number": "202-302-0450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLLY POFFENROTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "POFFENROTH",
"authorized_official_first_name": "POLLY",
"authorized_official_title_or_position": "CEO/THERAPIST",
"authorized_official_telephone_number": "202-302-0450",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Open Heart Space Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.