Gayle R Polston, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5064 Issued in SC

Practice address

1807 Cherokee Rd Ste 202
Life Changing Solutions, LLC
Florence, SC 29501-3101

Phone

(843) 669-4233

Fax

(843) 472-5021

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in SC

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifecare Psychology Group, LLCGroup PAC ID 1850330408, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifecare Psychology Group, LLC

  • Clinical Psychologist
  • Florence, SC
  • NPI 1295829026
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1770817462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S FRANKLIN DR",
            "address_2": "LIFE CHANGING SOLUTIONS",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014504",
            "telephone_number": "843-669-4233",
            "fax_number": "843-472-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 CHEROKEE RD STE 202",
            "address_2": "LIFE CHANGING SOLUTIONS, LLC",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013101",
            "telephone_number": "843-669-4233",
            "fax_number": "843-472-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSTON",
        "first_name": "GAYLE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letitia Marcia Plowden, LPC
• Michele Marie Plyler, COTA
• Jessica M. Poley, APRN
• Anna Polk, PTA
• Roger Polsky, NP-C
• Alix Pommerenke, MD
• Adaje' Jasonia Pope
• Michael Lewis Porter, RPH
• Sarah Lynn Porter
• Shawana Porter, MA, LPC

• Professional Counselor in Florence, SC
• Providers in Florence, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.