Lisa Ann Polanco, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

95882 Issued in TX

Practice address

PO Box 690864
San Antonio, TX 78269-0864

Phone

(210) 744-5863

Fax

(210) 479-1959

NPI assigned

Aug 9, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reliance Behavioral Health, P.C.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1033294608
  NPD (past)

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1205667482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 RIO CACTUS WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602615",
            "telephone_number": "210-846-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 690864",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690864",
            "telephone_number": "210-744-5863",
            "fax_number": "210-479-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste G Pokorney, DDS, DHSC
• Matthew Pokorney
• Lauren Siwald Pokorny, PA-C
• Bharath Pola, D.O.
• Alexandria Polanco, NP-C
• Rebecca Solis Polanco, FNP-C
• Jared Sterling Poland, MD
• Megan Lynne Poland, M.D.
• Derek Polansky
• Katelyn Polansky

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.