Individual provider Active NPI

Pauline S Belton, LCPC-ACS

  • Mental Health Counselor
  • Laurel, MD
National Provider Identifier
1215355805
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC5222 Issued in MD
Practice address
14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203
Phone
(240) 858-0696
Fax
(240) 660-4657
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PRC15522 DC
Mental Health Counselor 101YM0800X LC5222 MD Primary

Addresses

Primary practice location

14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203

Mailing address

14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203
Phone (240) 858-0696

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
PRC15522DCMDMental Health Counselor
LC5222MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Conversations LLC Mental Health Current Accepting new patients
Peaceful Minds Therapy Center Mental Health Current Accepting new patients

Locations

575 Main St
Ste 251
Laurel, MD 20707

14201 Laurel Park Dr
Ste 221
Laurel, MD 20707
Phone (240) 565-5731

14625 Baltimore Ave
Laurel, MD 20707
Phone (202) 734-6820

Organizations & group practices 2

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1215355805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 221",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "240-858-0696",
            "fax_number": "240-660-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 221",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "240-858-0696",
            "fax_number": "240-660-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTON",
        "first_name": "PAULINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "LCPC-ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC15522",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.