MR. JON S POLEN M.S. , LPC
NPI 1285909705
Counselor - Mental Health in Pawhuska, OK

Q: What is Jon Polen's NPI number?

The NPI number for Jon Polen is 1285909705. It was assigned to this individual provider in the NPPES registry on March 16, 2012.

Q: What is Jon Polen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Polen was last updated on January 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 16, 2012PECOS Enrolled

606 KIHEKAH AVE, PAWHUSKA, OK 74056(918) 287-5426 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Jon S Polen M.s. , Lpc NPPES

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

MR. JON S POLEN M.S. , LPC (NPI 1285909705) is an individual mental health provider in Pawhuska, Oklahoma, licensed in Oklahoma (6120) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285909705

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JON S POLENCredential: M.S. , LPC

Location Address606 KIHEKAH AVEPawhuska, OK 74056-4225

Mailing Address1860 E 15th StTulsa, OK 74104-4611 · (918) 949-4430 · Fax (918) 949-4431

Phone(918) 287-5426

Sole ProprietorNo

Enumeration DateMarch 16, 2012

Last NPPES UpdateJanuary 29, 2018

✔ NPI 1285909705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · 6120

606 KIHEKAH AVE, Pawhuska, OK 74056

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jon S Polen M.s. , Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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

FOOTCARE & MORE LLC

Clinic/Center (Rehabilitation)