Individual provider Active NPI

Elizabeth P Polanka, LPCC IMFT

  • Marriage & Family Therapist
  • Oxford, OH
National Provider Identifier
1134104151
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
E0007 Issued in OH
Practice address
10 N Locust St
Suite B 3
Oxford, OH 45056-1192
Phone
(513) 523-8991
Fax
(513) 523-8991
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E1045 OH
Marriage & Family Therapist 106H00000X E0007 OH Primary

Addresses

Primary practice location

10 N Locust St
Suite B 3
Oxford, OH 45056-1192

Mailing address

10 N Locust St
Suite B 3
Oxford, OH 45056-1192
Phone (513) 523-8991

Other identifiers 3

IdentifierTypeStateIssuer
255395OtherOHANTHEM
429908685003OtherOHMEDICAL MUTUAL
6268092OtherUNITED BEHAVIOREL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E1045OHMDProfessional Counselor
E0007OHMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134104151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N LOCUST ST",
            "address_2": "SUITE B 3",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561192",
            "telephone_number": "513-523-8991",
            "fax_number": "513-523-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N LOCUST ST",
            "address_2": "SUITE B 3",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561192",
            "telephone_number": "513-523-8991",
            "fax_number": "513-523-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANKA",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "LPCC IMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1045",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "E0007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "255395",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "429908685003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIOREL HEALTH",
            "identifier": "6268092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.