Active NPI
Pauline S Belton, LCPC-ACS
- Mental Health Counselor
- Laurel, MD
National Provider Identifier
1215355805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC5222
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PRC15522 | DC | MD | Mental Health Counselor |
| LC5222 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Laurel, MD
- NPI 1851770481
-
- Mental Health Counselor
- Laurel, MD
- NPI 1730935990
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.