Elizabeth Marie Polomik, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5135 Issued in NC

Practice address

8510 Six Forks Rd
Suite 101
Raleigh, NC 27615-3257

Phone

(919) 602-8572

Fax

(919) 747-4172

NPI assigned

Mar 21, 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

Other identifiers 1

Other names 1

• Elizabeth Marie Dogaer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• A Moment'S Reflection

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1922315258
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1962527408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 PRITCHARD CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168973",
            "telephone_number": "919-266-9010",
            "fax_number": "919-747-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 SIX FORKS RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153257",
            "telephone_number": "919-602-8572",
            "fax_number": "919-747-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOMIK",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103070",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DOGAER",
            "middle_name": "MARIE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Pollard, OTR/L
• Gregory Pollock, LCASA
• Meagan Cowan Pollock, M.S., CCC-SLP
• Morris Arthur Pollock, MD
• Jessica Poba Polo, NP
• Yuri A. Pompeu, MD, PHD
• Donald Pompey
• Joshua Craig Pomranke, CRNA
• Katherine Pomrehn, SLP
• Deion Carino Ponsones

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.