Active NPI
Ellen Sue Polan, MA
- Counselor
- Grand Junction, CO
National Provider Identifier
1215050737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC 46
- Practice address
- 640 Grand Ave
Grand Junction, CO 81501-2738 - Phone
- (970) 270-4005
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC 46 | CO | Primary |
Addresses
Primary practice location
640 Grand Ave
Grand Junction, CO 81501-2738
Mailing address
802 Ouray Ave
Grand Junction, CO 81501-3328
Phone (970) 243-9434
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 46 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215050737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 OURAY AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013328",
"telephone_number": "970-243-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 GRAND AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012738",
"telephone_number": "970-270-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAN",
"first_name": "ELLEN",
"middle_name": "SUE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPC 46",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.