Organization Active NPI

Open Conversations LLC

  • Mental Health Counselor
  • Laurel, MD
National Provider Identifier
1851770481
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC5222 Issued in MD
Legal business name
OPEN CONVERSATIONS LLC
Practice address
14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203
Phone
(240) 858-0696
Fax
(240) 660-4657
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Authorized official

Name
Dr. Pauline S Belton, LCPC-SNPI 1215355805
Title
Clinical Director/LCPC
Phone
(240) 858-0696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LC5222 MD Primary

Addresses

Primary practice location

14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203

Mailing address

14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203
Phone (240) 858-0696

Other practice location 1

14201 Laurel Park Dr Ste 221
Laurel, MD 20707-5203
Phone (240) 858-0696

Other identifiers 4

IdentifierTypeStateIssuer
600957636OtherMDMAGELLAN HEALTHCARE
BE580000OtherMDCARE FIRST BLUE CROSS BLUE SHIELDS
502221500MedicaidMD
800095MedicaidMD

National Provider Directory

National Provider Directory

Locations

575 Main St
Ste 251
Laurel, MD 20707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1851770481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 221",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "240-858-0696",
            "fax_number": "240-660-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 221",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "240-858-0696",
            "fax_number": "240-660-4657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14201 Laurel Park Dr Ste 221",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075203",
            "country_code": "US",
            "telephone_number": "240-858-0696",
            "fax_number": "240-660-4657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN CONVERSATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/LCPC",
        "authorized_official_telephone_number": "240-858-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTHCARE",
            "identifier": "600957636",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS BLUE SHIELDS",
            "identifier": "BE580000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502221500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800095",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

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