Individual provider Active NPI

Elizabeth Polomsky, RMHCI

  • Mental Health Counselor
  • Rockledge, FL
National Provider Identifier
1124643010
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I18257 Issued in FL
Practice address
7095 Turner Rd
Rockledge, FL 32955-5728
Phone
(321) 446-2113
Fax
(321) 241-4605
NPI assigned
Jun 16, 2020
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I18257 FL Primary

Addresses

Primary practice location

7095 Turner Rd
Rockledge, FL 32955-5728

Mailing address

7095 Turner Rd
Rockledge, FL 32955-5728
Phone (321) 446-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231201002897 FL Practitioner - Mental Health Counselor 3678921590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1410 W Broadway St
Suite 107
Oviedo, FL 32765-6537
Phone (689) 266-5051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I18257FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Counseling LLC Mental Health CurrentSince Jun 21, 2020 Accepting new patients
Life Solutions Counseling LLC Mental Health CurrentSince Nov 5, 2023 Accepting new patients

Locations

1410 W Broadway St
Ste 107
Oviedo, FL 32765
Phone (321) 765-4949

7095 Turner Rd
Rockledge, FL 32955
Phone (321) 446-2113

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1124643010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 TURNER RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555728",
            "telephone_number": "321-446-2113",
            "fax_number": "321-241-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 TURNER RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555728",
            "telephone_number": "321-446-2113",
            "fax_number": "321-241-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOMSKY",
        "first_name": "ELIZABETH",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "I18257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.