Individual provider Active NPI

Pollyne G Nakabuye, LGPC

  • School Counselor
  • Burtonsville, MD
National Provider Identifier
1306662341
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
LGP14681 Issued in MD
Practice address
4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127
Phone
(301) 421-4241
NPI assigned
Nov 25, 2024
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X LGP14681 MD Primary

Addresses

Primary practice location

4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127

Mailing address

4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127
Phone (301) 421-4241

Other practice location 1

8181 Professional Pl Ste 200
Landover, MD 20785-7219
Phone (301) 306-4590

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
LGP14681MDMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Interdynamics, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Interdynamics, Inc. PastSince Dec 1, 2024 Accepting new patients

Locations

8181 Professional Pl
Ste 200
Landover, MD 20785
Phone (301) 306-4590

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1306662341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN STE 150",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666127",
            "telephone_number": "301-421-4241",
            "fax_number": "410-696-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN STE 150",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666127",
            "telephone_number": "301-421-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8181 Professional Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207857219",
            "country_code": "US",
            "telephone_number": "301-306-4590",
            "fax_number": "301-880-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKABUYE",
        "first_name": "POLLYNE",
        "middle_name": "G",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MD",
            "license": "LGP14681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.