Individual provider Active NPI

Luvena Dennise Polnack-Romine, LPC

  • Professional Counselor
  • Abilene, TX
National Provider Identifier
1083300446
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82526 Issued in TX
Practice address
100 Chestnut St Ste 101
Abilene, TX 79602-1440
Phone
(325) 676-8963
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 82526 TX Primary

Addresses

Primary practice location

100 Chestnut St Ste 101
Abilene, TX 79602-1440

Mailing address

100 Chestnut St Ste 101
Abilene, TX 79602-1440
Phone (325) 676-8963

Other names 1

  • Luvena Dennise Polnack Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425001950 TX Practitioner - Mental Health Counselor 3072953983 Practice locations: Abilene, TX; Sweetwater, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
82526TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1083300446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT ST STE 101",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021440",
            "telephone_number": "325-676-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT ST STE 101",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021440",
            "telephone_number": "325-676-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLNACK-ROMINE",
        "first_name": "LUVENA",
        "middle_name": "DENNISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUVENA",
            "last_name": "POLNACK",
            "middle_name": "DENNISE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.