Lauren Polcyn

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010420 Issued in IL

Practice address

6634 Grenoble CT
Lisle, IL 60532-3425

Phone

(815) 697-5612

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.laurenpolcyn@146897.advancedmd-direct.com

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.

• Polcyn Couseling PC

  • Community/Behavioral Health Agency
  • Lisle, IL
  • NPI 1336892967
  NPD Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1013463793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 GRENOBLE CT",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323425",
            "telephone_number": "815-685-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 GRENOBLE CT",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323425",
            "telephone_number": "815-697-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCYN",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew E Pilditch, MD
• Catherine Marie Piscopo, LMT
• Annmarie Pitra, OD
• Plaudits Speech Therapy, Inc.
• Polcyn Couseling PC
• Poorna Inc
• Marisa Lauren Potter
• Leanne Sue Powers, M.S.
• Meredith Ashley Powers, MT-BC, NMT
• Prairie Dental Partners LLC

• Professional Counselor in Lisle, IL
• Providers in Lisle, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.