Individual provider Active NPI

Diana M Jennings-Pollard, LMHC, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1346490786
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4800 Issued in MD
Practice address
2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756
Phone
(253) 527-1284
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCP010927 GA
Mental Health Counselor 101YM0800X MH9243 FL
Mental Health Counselor 101YM0800X LC4800 MD Primary

Addresses

Primary practice location

2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756

Mailing address

2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756
Phone (253) 527-1284

Other identifiers 5

IdentifierTypeStateIssuer
1346490786OtherMDINSURANCE
1346490786MedicaidMD
LC4800MedicaidMD
12647990MedicaidMD
5256MedicaidFL

Other names 1

  • Diana Pollard Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH9243FLMDMental Health Counselor
LCP010927GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

2650 Quarry Lake Dr
Ste 200
Baltimore, MD 21209

Organizations & group practices 1

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1346490786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 QUARRY LAKE DR STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093756",
            "telephone_number": "253-527-1284",
            "fax_number": "480-383-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 QUARRY LAKE DR STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093756",
            "telephone_number": "253-527-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS-POLLARD",
        "first_name": "DIANA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMHC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LCP010927",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9243",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1346490786",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346490786",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LC4800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12647990",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5256",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "POLLARD",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.