Individual provider Active NPI

Sara Pirmohamed, LCPC

  • Mental Health Counselor
  • Annapolis, MD
National Provider Identifier
1780379263
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC15237 Issued in MD
Practice address
108 Old Solomons Island Rd Ste a
Annapolis, MD 21401-0920
Phone
(443) 214-5097
Fax
(443) 440-5782
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP8631 MD
Mental Health Counselor 101YM0800X LC15237 MD Primary

Addresses

Primary practice location

108 Old Solomons Island Rd Ste a
Annapolis, MD 21401-0920

Mailing address

1002 Eagle Passages CT
Davidsonville, MD 21035-1239

Other practice location 1

14440 Cherry Lane Ct Ste 208
Laurel, MD 20707-4946
Phone (301) 604-1458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930001241 MD Practitioner - Mental Health Counselor 5890226039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Project Chesapeake, LLCGroup PAC ID 2769603034, 18 clinicians

Practice addresses (Care Compare)

108 Old Solomons Island Rd
Suite a
Annapolis, MD 21401-0920
Phone (443) 440-5782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP8631MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Project Chesapeake, LLC Current Accepting new patients
Project Chesapeake, LLC CurrentSince Sep 16, 2024 Accepting new patients
Project Chesapeake, LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

185 Admiral Cochrane Dr
Ste 120
Annapolis, MD 21401

108 Old Solomons Island Rd
Ste A
Annapolis, MD 21401
Phone (410) 266-5054

5710 Ritchie Hwy
Brooklyn Park, MD 21225
Phone (410) 636-5600

Organizations & group practices 4

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1780379263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 EAGLE PASSAGES CT",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210351239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLD SOLOMONS ISLAND RD STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214010920",
            "telephone_number": "443-214-5097",
            "fax_number": "443-440-5782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14440 Cherry Lane Ct Ste 208",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074946",
            "country_code": "US",
            "telephone_number": "301-604-1458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRMOHAMED",
        "first_name": "SARA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP8631",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC15237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.