Active NPI
Carol Polan, LPC
- Professional Counselor
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 93589
- Practice address
- 2660 Scripture St Ste 210
Denton, TX 76201-4343 - Phone
- (940) 315-7825
- NPI assigned
- Oct 3, 2024
- Last updated
- Oct 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC.0020985 | CO | |
| School Counselor | 101YS0200X | |||
| Professional Counselor | 101YP2500X | 93589 | TX | Primary |
Addresses
Primary practice location
2660 Scripture St Ste 210
Denton, TX 76201-4343
Mailing address
PO Box 223
Denton, TX 76202-0223
Phone (303) 520-7633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N Bonnie Brae
Denton, TX 76201-3766
Phone (210) 615-3460
7272 Wurzbach Rd
San Antonio, TX 78240-4803
Phone (210) 615-3483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0020985 | CO | MD | Professional Counselor |
| 93589 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Services of Denton | Mental Health | Current | Accepting new patients |
| Deer Oaks Geriatric Services P C | Current | Accepting new patients | |
| Grateful Heart Counseling, PLLC | Mental Health | Current | Accepting new patients |
| Deer Oaks Mental Health Associates PC | Past | Accepting new patients |
Locations
2660 Scripture St
Ste 210
Denton, TX 76201
Phone (940) 202-9010
7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Deer Oaks Consultation Services
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denton, TX
- NPI 1104560531
-
- Mental Health Counselor
- Justin, TX
- NPI 1407692650
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1053130492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223",
"city": "DENTON",
"state": "TX",
"postal_code": "762020223",
"telephone_number": "303-520-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 SCRIPTURE ST STE 210",
"city": "DENTON",
"state": "TX",
"postal_code": "762014343",
"telephone_number": "940-315-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAN",
"first_name": "CAROL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0020985",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "93589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.