Individual provider Active NPI

Laurie Elaine Pomante, LCPC

  • Mental Health Counselor
  • Glen Burnie, MD
National Provider Identifier
1134424237
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3580 Issued in MD
Practice address
122 Langley Rd N Ste a
Glen Burnie, MD 21060-6531
Phone
(410) 222-8765
Fax
(410) 222-6888
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC3580 MD Primary

Addresses

Primary practice location

122 Langley Rd N Ste a
Glen Burnie, MD 21060-6531

Mailing address

122 Langley Rd N Ste a
Glen Burnie, MD 21060-6531
Phone (410) 222-8765

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

LicenseStateTypeSpecialty
LC3580MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adolescent and Family Services/Addictions 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": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1134424237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606531",
            "telephone_number": "410-222-8765",
            "fax_number": "410-222-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606531",
            "telephone_number": "410-222-8765",
            "fax_number": "410-222-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMANTE",
        "first_name": "LAURIE",
        "middle_name": "ELAINE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.