Jacqualine Polydoros, LCPC
NPI 1396349379 · Mental Health Counselor · Hagerstown, MD
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqualine Polydoros, LCPC is a Mental Health Counselor provider in Hagerstown, MD (NPI 1396349379).
Provider details
- NPI number
- 1396349379
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- License
- LC16950 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Frequently asked questions
- What is Jacqualine Polydoros's NPI number?
- Jacqualine Polydoros's National Provider Identifier (NPI) is 1396349379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqualine Polydoros's specialty?
- Jacqualine Polydoros is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jacqualine Polydoros located?
- Jacqualine Polydoros's practice location on file with NPPES is 322 E Antietam St Ste 101, Hagerstown, MD 21740-5736.
- What is Jacqualine Polydoros's phone number?
- The practice phone number listed in the NPPES registry for Jacqualine Polydoros is (301) 733-2431.
- Does Jacqualine Polydoros accept Medicare?
- Jacqualine Polydoros is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqualine Polydoros's NPI active?
- Yes — Jacqualine Polydoros's NPI (1396349379) is active in the NPPES registry as of the last update on 2025-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.