Jacqualine Polydoros, LCPC
Mental Health Counselor · Hagerstown, MD
Jacqualine Polydoros, LCPC is a mental health counselor with a practice address in Hagerstown, Maryland, and NPI 1396349379, issued on Nov 30, 2020. Check the license (Maryland LC16950, as entered in NPPES) with the Maryland board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacqualine Polydoros
- Credential
- LCPC
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- LC16950 MD
Self-reported in NPPES; status is on the state search - Practice location
- 322 E Antietam St Ste 101, Hagerstown, MD 21740
- Phone
- (301) 733-2431
- Enumerated
- Nov 30, 2020
- Record last updated
- Dec 29, 2025
- Medicare enrollment
- Enrolled (PECOS I20260203001297); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 4,201 in Maryland → Look up another NPI →
Also registered at 322 E Antietam St Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kathleen AmanoCounselor1033965504
- Allison Barnette, LCSW-CSocial Worker1558094482
- Miranda BlumSocial Worker1639657828
- Amber Chrobot, LMSWSocial Worker1114607470
- Jamy Conrad, LCSW-CClinical Social Worker1235844101
- Jasmin DuffyCounselor1275118903
Verify Jacqualine Polydoros in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Maryland board licenses this profession
Search for license LC16950Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jacqualine Polydoros among 4,201 mental health counselor records in Maryland
Jacqualine Polydoros, LCPC is one of 4,201 mental health counselor records with a practice address in Maryland. 7% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2020, is newer than 40% of them.
- NPI issued2020 · 40% of these records are older, 53% newer
- In a Medicare fileNo · 7% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated2023 · median 2016 among the 472 with a school on file
- Record last updated2025 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
72 mental health counselor records list a practice address in Hagerstown
They are 72 of the 2,414 NPPES records with a practice address in Hagerstown, and 4,201 mental health counselor records in Maryland. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,201 in Maryland → Every provider in Hagerstown → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Arthur Auxer, B.A. M.EDHagerstown, MD 217401679788145
- Carl Benedict, LCPCHagerstown, MD 217401518056936
- Tracey Butler, LCPCHagerstown, MD 217401215188909
- Nick Dewaal, LCPC, NCCHagerstown, MD 217401427023779
- Donna Frentz, RN, BCHagerstown, MD 217401467620252
- Hiram Gooch, MSSWHagerstown, MD 217401700982220
- Melody Green, LCPCHagerstown, MD 217401497711303
- Sylvia Harris, LGPC, CAC-ADHagerstown, MD 217401275700106
Common questions
What is Jacqualine Polydoros, LCPC's NPI number?
Jacqualine Polydoros, LCPC's National Provider Identifier (NPI) is 1396349379, issued on Nov 30, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jacqualine Polydoros, LCPC located?
The NPPES record lists a practice address at 322 E Antietam St Ste 101, Hagerstown, MD, 21740. Phone: (301) 733-2431. Providers update this record themselves, so call before visiting.
How can I verify Jacqualine Polydoros, LCPC's license?
NPPES lists Maryland license number LC16950, as entered by the provider. Search the Maryland board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.