Jose Robert Pozo, LC11712
NPI 1457904179ActiveIndividual· Counselor, Professional· Rockville, MD
Counselor, Professional (LC11712) with Brightside Medical PC, practicing in Rockville, Maryland. Medicare paid $2,221 for services to 13 patients in 2024.
Overview
| NPI | 1457904179 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LC11712 |
| Sole proprietor | No |
| NPI issued | Jul 22, 2019 |
| Last updated in NPPES | Jul 27, 2021 |
| Certified by provider | Jul 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LC11712 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 30 across 3 procedure codes |
| Paid by Medicare | $2,221 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Brightside Medical PCBaltimore, MD · 279 clinicians
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