Tyler Alexa Polansky, MA, LAC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00804200 Issued in NJ

Practice address

87 Park Ave
Flemington, NJ 08822-1128

Phone

(908) 751-1208

NPI assigned

Aug 8, 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

Credentials

Master of Arts

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.

• My Place for Peace, LLC

  • Professional Counselor
  • Flemington, NJ
  • NPI 1023659976
  NPD (past)

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1225869795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 YORK RD",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291045",
            "telephone_number": "973-295-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221128",
            "telephone_number": "908-751-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANSKY",
        "first_name": "TYLER",
        "middle_name": "ALEXA",
        "credential": "MA, LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00804200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Joseph Pizzi, MD
• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
• Virginia M Plaza
• Robert Plumb
• Lisa Plunkett, MD
• Michael E Pollack, MD
• Andreas Polychronis
• Jacqueline Anne Ponzio
• Ekaterina Poshyvaylo, LMT
• Kirsten S Posselt, NP

• Mental Health Counselor in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.