Individual provider Active NPI

Allison Polomsky, MA, LCMFT, LMFT

  • Marriage & Family Therapist
  • Lexington Park, MD
National Provider Identifier
1104000652
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM630 Issued in MD
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

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
157NEMDMental Health Counselor
LCM630MDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.