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

Active since January 17, 2019PECOS Enrolled
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: July 19, 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
Phone(332) 877-7765
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiara A Polanco Lmhc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. RAUL R SILVA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
80 BROADWAY STE 2D
CRESSKILL, NJ 07626
Bergen County (201) 218-1380
ERIKA N. SILVA LCSW
Social Worker (Clinical)
80 BROADWAY STE 2D
CRESSKILL, NJ 07626
Bergen County (551) 265-2715

Frequently Asked Questions

What is Kiara Polanco's NPI number?

The NPI number assigned to this healthcare provider is 1063986420, enumerated as an "individual" on January 17, 2019.

Where is the provider located?

The provider is located at 80 BROADWAY STE 2D CRESSKILL, NJ 07626 and the phone number is (332) 877-7765.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.