Ann M Polodna, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180006866 Issued in IL

Practice address

16033 91St Ave
Orland Hills, IL 60477-5989

Phone

(708) 602-2103

Fax

(708) 349-9199

NPI assigned

Mar 5, 2007

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 IL

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, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Heart Source Therapy

  • Professional Counselor
  • Frankfort, IL
  • NPI 1902146202
  NPD (past)
• Heartsource Therapy PC

  • Clinical Social Worker
  • Frankfort, IL
  • NPI 1215314414
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1780713446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16033 91ST AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604875989",
            "telephone_number": "708-602-2103",
            "fax_number": "708-349-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16033 91ST AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604775989",
            "telephone_number": "708-602-2103",
            "fax_number": "708-349-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLODNA",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shireen Musleh, MA
• Daija O'Banion Whaley, LCPC
• Olaoluwa Ogunlana, PT, DPT
• Valerie Paluszak, P.T.
• Laura J Pawlak, RPH, BS PHARM
• Vilas Potdukhe, DPT
• Erik Ramirez
• Yazmine Richardson
• Dore Elizabeth Robinson, D.O.
• Rolando A Rodriguez Figueroa, MSDN, RDN, LDN, CLS

• Professional Counselor in Orland Hills, IL
• Providers in Orland Hills, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.