Polly Sikora, MA, LPC – Professional Counselor

Key facts

NPI: 1306160197
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 5583 (CO)
Practice address: 104 S Main Street
Suite 5B
Mancos, CO 81328
Phone: (970) 759-7328
NPI assigned: Mar 23, 2010
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Psyke, LLC Professional Counselor · Mancos, CO · NPI 1386134112

NPD (past) PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
5583	CO	MD	Professional Counselor
0435543	CO	MD	School Counselor

Practice roles

Organization	Specialty	Status	New patients
Psyke, LLC	Professional	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	5583	CO	Yes
School Counselor	101YS0200X	0435543	CO

Addresses

Primary practice location

104 S Main Street
Suite 5B
Mancos, CO 81328

Mailing address

41263 Road G
Mancos, CO 81328-8928
Phone (970) 759-7328

Other providers in Mancos, CO

All providers in Mancos, CO · Professional Counselor in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.