Carol Marie Poole, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC6503 Issued in MD

Practice address

247 E Main St
Westminster, MD 21157-5228

Phone

(443) 289-8149

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Renewal Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Westminster, MD
  • NPI 1578995213
  NPD

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1295206621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 MIDDLEPOINT RD",
            "city": "MYERSVILLE",
            "state": "MD",
            "postal_code": "217739321",
            "telephone_number": "240-675-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E MAIN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575228",
            "telephone_number": "443-289-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC6503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatry Associates PA
• Lisa Pollard, LPN
• Poole Anesthesia LLC
• Poole Endoscopy Center (Neel Kamal MD)
• Poole Endoscopy Center, LLC
• Mary Jo Poppeck, LCSW
• Deborah Larner Portney
• Potomac Case Management Services (Potomac Community Services)
• Alan McCall Potter, PA
• George Benjamin Potter, CAC-AD

• Mental Health Counselor in Westminster, MD
• Providers in Westminster, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.