Elizabeth Polomsky, RMHCI
Individual provider Active NPI Mental Health Counselor · Rockledge, FL
NPI 1124643010 · NPPES record last updated Jun 16, 2020
Key facts
- NPI
- 1124643010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- I18257 (FL)
- Practice address
- 7095 Turner Rd
Rockledge, FL 32955-5728 - Phone
- (321) 446-2113
- Fax
- (321) 241-4605
- NPI assigned
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231201002897 | FL | Practitioner - Mental Health Counselor | 3678921590 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I18257 | FL | MD | Mental Health Counselor |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Counseling LLC | Mental Health | Current |
Accepting new patients |
| Life Solutions Counseling LLC | Mental Health | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I18257 | FL | Yes |
Addresses
Primary practice location
7095 Turner Rd
Rockledge, FL 32955-5728
Mailing address
7095 Turner Rd
Rockledge, FL 32955-5728
Phone (321) 446-2113
Other providers in Rockledge, FL
- Herbert P Pleiman Jr.
- Leah Plumblee
- Krzysztof B Podjaski
- Steven Daniel Podnos
- Jennifer Polanco-Nieves
- Eric Pomales
- Edwin S. Pont
- Melinda L Poole
- Connie Porter-Richard
- Christine Ann Posada
All providers in Rockledge, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.