Michelle Hamilton Bronzo, LCPC, LPC, LMHC, CT
Individual provider Active NPI Mental Health Counselor · Potomac, MD
NPI 1134556517 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1134556517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LC10809 (MD)
- Practice address
- 8261 Buckspark LN W
Potomac, MD 20854-4232 - Phone
- (914) 806-6308
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 28, 2025 through Aug 28, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC10809 | MD | MD | Mental Health Counselor |
| 005638 | NY | MD | Mental Health Counselor |
| PRC14859 | DC | MD | Professional Counselor |
| 0701006824 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005638 | NY | |
| Professional Counselor | 101YP2500X | PRC14859 | DC | |
| Professional Counselor | 101YP2500X | 0701006824 | VA | |
| Mental Health Counselor | 101YM0800X | LC10809 | MD | Yes |
Addresses
Primary practice location
8261 Buckspark LN W
Potomac, MD 20854-4232
Mailing address
8261 Buckspark LN W
Potomac, MD 20854-4232
Phone (914) 806-6308
Other names
- Michelle Paula Hamilton
Other providers in Potomac, MD
- Sabina Broadhead
- Amy Melissa Brodsky
- Alex Brodt
- Alan Brody
- Michael Brody
- Katherine Alexandra Brown
- Verity Brown
- Bruce P. Pfeffer, M.D., P.a.
- Pepper Deckert Buckley
- Christina Lee Bulley
All providers in Potomac, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.