Active NPI
Allison Polomsky, MA, LCMFT, LMFT
- Marriage & Family Therapist
- Lexington Park, MD
National Provider Identifier
1104000652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCM630
- Practice address
- 22776 Three Notch Rd Ste 211
Lexington Park, MD 20653-3368 - Phone
- (301) 304-8995
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCM630 | MD | Primary |
| Marriage & Family Therapist | 106H00000X | 157 | NE |
Addresses
Primary practice location
22776 Three Notch Rd Ste 211
Lexington Park, MD 20653-3368
Mailing address
18747 Vernon Court
Drayden, MD 20630
Phone (402) 682-2299
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157 | NE | MD | Mental Health Counselor |
| LCM630 | MD | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Counseling, LLC | Marriage & Family Therapist | 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.
-
- Marriage & Family Therapist
- Lexington Park, MD
- NPI 1942774773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1104000652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18747 VERNON COURT",
"city": "DRAYDEN",
"state": "MD",
"postal_code": "20630",
"telephone_number": "402-682-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22776 THREE NOTCH RD STE 211",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "206533368",
"telephone_number": "301-304-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLOMSKY",
"first_name": "ALLISON",
"credential": "MA, LCMFT, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LCM630",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NE",
"license": "157",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.