Cheryl Polly, L P C PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13054 Issued in TX

Practice address

909 8TH St
Ste 300
Wichita Falls, TX 76301-6820

Phone

(940) 767-2914

Fax

(866) 838-5630

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cheryl a Polly L P C PC

  • Counselor
  • Wichita Falls, TX
  • NPI 1184498669

  Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1194777896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 8TH ST",
            "address_2": "STE 300",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016817",
            "telephone_number": "940-767-2914",
            "fax_number": "940-767-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 8TH ST",
            "address_2": "STE 300",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016820",
            "telephone_number": "940-767-2914",
            "fax_number": "866-838-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLY",
        "first_name": "CHERYL",
        "credential": "L P C PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026846801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Pitts, D.D.S.
• Julianna Plummer
• Stephen Christopher Poe, PA-C
• Michele Marie Pohlmann, PA-C
• Kimberly Jo Pollock, FNP
• Robert Stanley Polovy, DDS
• Skyllar McDaniel Polvadore
• Donna Poore
• Morgan Pope, RBT
• James W Popp

• Professional Counselor in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.