Kelly Polen, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF000636 Issued in PA

Practice address

40 Huff Ave
Greensburg, PA 15601-5318

Phone

(724) 396-1510

Fax

(724) 691-0476

NPI assigned

Sep 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1174806269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510",
            "fax_number": "724-691-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HUFF AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015318",
            "telephone_number": "724-396-1510",
            "fax_number": "724-691-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEN",
        "first_name": "KELLY",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Pocratsky, LPC
• Allison Podkul, OD
• Carly Pokorski
• Deeann Mae Polakovsky, PAC
• Carli Polczynski
• Jennifer A Polosky, LPC
• Igor Poltinnikov
• Andrew M Ponterio, PA-C
• Barbara J Ponterio, OTR/L
• Lisa Marie Pope, LCSW

• Marriage & Family Therapist in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; 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.