Individual provider Active NPI

Karen Kristine Poehlman, LCPC

  • Professional Counselor
  • Fallston, MD
National Provider Identifier
1861644411
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2933 Issued in MD
Practice address
1716 Harford Rd
Suite 204
Fallston, MD 21047-2643
Phone
(410) 877-7207
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC2933 MD Primary

Addresses

Primary practice location

1716 Harford Rd
Suite 204
Fallston, MD 21047-2643

Mailing address

110 Bayland Dr
Unitl
Havre de Grace, MD 21078-4274
Phone (410) 322-4907

Other identifiers 1

IdentifierTypeStateIssuer
416015100MedicaidMD

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
I20241209002095 MD Practitioner - Mental Health Counselor 6103352562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1015 S Main St
Bel Air, MD 21014-5412
Phone (410) 322-9394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Transformations, LLC CurrentSince Nov 3, 2024 Accepting new patients
Kilgalen Associates PA PastSince Jul 24, 2000 Accepting new patients

Locations

1015 S Main St
Bel Air, MD 21014
Phone (410) 322-9394

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1861644411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BAYLAND DR",
            "address_2": "UNITL",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210784274",
            "telephone_number": "410-322-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HARFORD RD",
            "address_2": "SUITE 204",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472643",
            "telephone_number": "410-877-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEHLMAN",
        "first_name": "KAREN",
        "middle_name": "KRISTINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416015100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallston, MD

Sources for this page

Verify at the official NPI Registry.