Individual provider Active NPI

Diane J Clonmell, LCPC

  • Professional Counselor
  • Laurel, MD
National Provider Identifier
1134480130
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1496 Issued in MD
Practice address
7655 E Arbory CT
Laurel, MD 20707-5554
Phone
(240) 338-8115
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1496 MD Primary

Addresses

Primary practice location

7655 E Arbory CT
Laurel, MD 20707-5554

Mailing address

7655 E Arbory CT
Laurel, MD 20707-5554
Phone (240) 338-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240319003756 DC Practitioner - Mental Health Counselor 4183061666 Reassigns benefits to 3 organizations
I20250516003286 MD Practitioner - Mental Health Counselor 4183061666 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1496MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Mar 14, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 14, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Professional Services of Holy Cross CurrentSince Oct 11, 2025 Accepting new patients
Professional Services of Holy Cross Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 14, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Premier Health Care LLC CurrentSince Feb 17, 2024 Accepting new patients
Premier Health Care, LLC CurrentSince Feb 17, 2024 Accepting new patients
Premier Health Care LLC Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Services of Holy Cross 159 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1134480130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 E ARBORY CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075554",
            "telephone_number": "240-338-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 E ARBORY CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075554",
            "telephone_number": "240-338-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONMELL",
        "first_name": "DIANE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.