John Polanco, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC10748 Issued in MD

Practice address

6805 Barnett Rd
Baltimore, MD 21239-1215

Phone

(443) 331-5949

NPI assigned

Mar 28, 2019

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Olive Branch Counseling Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1194312454
  NPD Authorized official
• Lighthouse, Inc.

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1790112746
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1467913897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 BARNETT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391215",
            "telephone_number": "443-226-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 BARNETT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391215",
            "telephone_number": "443-331-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "JOHN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCPC10748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Pokov, MD
• Taylor Pokress
• Helene Pokrywka
• Fernando Pedro Polack, M.D.
• Anna Poladian-Prior, MPT
• Jesse Polansky, MD
• Christie Anne Polen-Bonitz, LCSW-C
• David James Polhemus, MD, PHD
• Michelle Leanne Poling, MS, RD, LDN
• Karen Polite-Lamma

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, 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 Aug 7, 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.