Anita B Polzin, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2022022871 Issued in MO

Practice address

4066 Dunnica Ave
Saint Louis, MO 63116-3510

Phone

(636) 224-1700

Fax

(314) 535-5917

NPI assigned

Apr 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Anita B Mershon Other name

Medicare fee-for-service enrollment

Enrolled in OK, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Family Healthcare IncGroup PAC ID 0244256246, shared by 27 NPIs, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations (25 of 31)

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.

• Preferred Family Healthcare, Inc

  • Community/Behavioral Health Agency
  • Kirksville, MO
  • NPI 1649474206
  Medicare reassignment NPD
• Preferred Family Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Stillwater, OK
  • NPI 1376904086
  Medicare reassignment NPD
• Preferred Family Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hannibal, MO
  • NPI 1306721709
  NPD
• Burrell, Inc.

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1275541740
  NPD (past)
• Preferred Family Healthcare

  • Children's Substance Abuse Rehabilitation Facility
  • Saint Louis, MO
  • NPI 1447381454
  NPD (past)
• Preferred Family Healthcare, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1861537979
  NPD (past)
• Preferred Family Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1528446986
  NPD (past)
• Preferred Family Healthcare, Inc.

  • Substance Abuse Rehabilitation Facility
  • Saint Charles, MO
  • NPI 1710019898
  NPD (past)

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1053721290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD SOUTH RIVER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034120",
            "telephone_number": "636-246-1210",
            "fax_number": "636-246-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 DUNNICA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163510",
            "telephone_number": "636-224-1700",
            "fax_number": "314-535-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Westowne St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640681166",
            "country_code": "US",
            "telephone_number": "816-407-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Laharpe St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014520",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 E Booneslick Rd",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "MO",
            "postal_code": "633832100",
            "country_code": "US",
            "telephone_number": "636-224-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 E Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635013904",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Westbury Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633012596",
            "country_code": "US",
            "telephone_number": "636-946-6376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Clark Ave",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MO",
            "postal_code": "630841004",
            "country_code": "US",
            "telephone_number": "636-584-8724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633766459",
            "country_code": "US",
            "telephone_number": "636-333-2583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5620 W Wildwood Ranch Pkwy",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044520",
            "country_code": "US",
            "telephone_number": "417-623-1990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Hoover Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651090800",
            "country_code": "US",
            "telephone_number": "573-632-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1628 Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646832565",
            "country_code": "US",
            "telephone_number": "660-359-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7020 Chippewa St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631195602",
            "country_code": "US",
            "telephone_number": "314-772-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4928 Delmar Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631081615",
            "country_code": "US",
            "telephone_number": "314-899-0846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8333 E Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641334750",
            "country_code": "US",
            "telephone_number": "816-474-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Jamison St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635013943",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791520",
            "country_code": "US",
            "telephone_number": "636-224-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1570 S Main St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633034149",
            "country_code": "US",
            "telephone_number": "636-224-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11701 W Florissant Ave",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336744",
            "country_code": "US",
            "telephone_number": "314-972-8132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 W Catalpa St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658071123",
            "country_code": "US",
            "telephone_number": "417-862-3455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Adams St",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651013058",
            "country_code": "US",
            "telephone_number": "573-556-6589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4355 Paris Gravel Rd",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016017",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10024 Office Center Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631281392",
            "country_code": "US",
            "telephone_number": "314-729-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 W Catalpa St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658071123",
            "country_code": "US",
            "telephone_number": "417-862-3455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Old South River Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633034120",
            "country_code": "US",
            "telephone_number": "636-224-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLZIN",
        "first_name": "ANITA",
        "middle_name": "B",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022022871",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746170G",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "MERSHON",
            "middle_name": "B",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ilir Polovina, NP-C
• Galina A Polska
• Jessica Polson, PSY.D.
• Susan Polson
• Bonnie Sue Polster, RN
• Andrew M Pomerantz, PH. D.
• Daniel David Pomerleau, LMFT
• Patricia Pometto
• Anthony Gerard Pompa, MD
• Jessica Pona, NP

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.

Verify at the official NPI Registry.