KIARA A POLANCO LMHC, LPC
NPI 1063986420
Counselor - Mental Health in Cresskill, NJ

Active since January 17, 2019PECOS EnrolledAccepts Medicare Assignment
80 BROADWAY STE 2D, CRESSKILL, NJ 07626(332) 877-7765 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2025, Jan 17, 2019 (2 updates tracked since 2019).

About Kiara A Polanco Lmhc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIARA A POLANCO LMHC, LPC (NPI 1063986420) is an individual mental health provider in Cresskill, New Jersey, licensed in New York (009099) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063986420
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIARA A POLANCOCredential: LMHC, LPC
Location Address80 BROADWAY STE 2DCresskill, NJ 07626-2164
Mailing Address420 S Prospect AveBergenfield, NJ 07621-3336 · (201) 654-1170
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 17, 2019
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1063986420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 009099
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 37PC00989500 (NJ)
80 BROADWAY STE 2D, Cresskill, NJ 07626

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiara A Polanco Lmhc, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628540523
PECOS Enrollment IDI20260611001797
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kiara Polanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
230 E RIDGEWOOD AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
80 BROADWAY STE 2D
CRESSKILL, NJ 07626
Social Worker (Clinical)
80 BROADWAY STE 2D
CRESSKILL, NJ 07626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiara Polanco's NPI number?

The NPI number for Kiara Polanco is 1063986420. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Kiara Polanco located?

Kiara Polanco practices at 80 Broadway Ste 2D, Cresskill, NJ 07626. The listed phone number is (332) 877-7765.

What is Kiara Polanco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kiara Polanco enrolled in Medicare?

Yes. Kiara Polanco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kiara Polanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiara Polanco reassigns Medicare benefits to Care Plus Nj, Inc (Paramus, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kiara Polanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kiara Polanco was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.