Active NPI
Diane J Clonmell, LCPC
- Professional Counselor
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1496
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC1496 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Premier Health Care LLC | Current | Accepting new patients | |
| Premier Health Care, LLC | Current | 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.
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
MD
-
- Diabetes Educator Registered Nurse
- Silver Spring, MD
- NPI 1053053447
-
- Internal Medicine Physician
- Severna Park, MD
- NPI 1154594513
-
- Neurology Physician
- Annapolis, MD
- NPI 1467767806
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Internal Medicine Physician
- Clinton, MD
- NPI 1528538758
-
- Health Service Clinic/Center
- Rockville, MD
- NPI 1619787454
-
- Psychiatry Physician
- Silver Spring, MD
- NPI 1871962548
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
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
- Abby Marie Claytor, LMSW
- Clearpoint Mental Health Services LLC
- Modupeh Cleeve, M.S., BCBA, LBA
- Clinical Pharmacy Associates, Inc
- Joseph William Clinton, MD
- Elizabeth C Cobb, MPH
- Victoria Sarah Rosamund Cockroft
- Alexandra Michelle Codjoe, LMSW
- Christina Agyeiwaa Coffie, RDMS
- Barbara Renee Cohl, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.