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

NPI Status: Active since March 16, 2012

Contact Information

606 KIHEKAH AVE
PAWHUSKA, OK
ZIP 74056
Phone: (918) 287-5426

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  • Individual
  • Male
  • Years of Experience 12
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JON POLEN

This page provides the complete NPI Profile along with additional information for Jon Polen, a provider established in Pawhuska, Oklahoma with a medical specialization in Counselor, focusing in mental health and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1285909705 assigned on March 2012. The practitioner's primary taxonomy code is 101YM0800X with license number 6120 (OK). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1285909705
Provider Name
MR. JON S POLEN M.S. , LPC
Gender
Male
Entity Type
Individual
Location Address
606 KIHEKAH AVE PAWHUSKA, OK 74056
Location Phone
(918) 287-5426
Mailing Address
1860 E 15TH ST TULSA, OK 74104
Mailing Phone
(918) 949-4430
Mailing Fax
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
03-16-2012
Last Update Date
01-29-2018
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A mental health counselor like Jon Polen provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
6120
License State
OK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - PPO
  • Bronze Classic Standard - PPO
  • Bronze Elite + PCP Saver Plus - PPO
  • Gold Classic Standard - PPO
  • Secure - PPO
  • Silver Classic Standard - PPO
  • Silver Elite Saver Plus - PPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - PPO
  • Silver Simple Diabetes - PPO
  • Silver Simple PCP Saver - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jon Polen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jon Polen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719410125

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241023004156

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MR. JON S POLEN M.S. , LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285909705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651801870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 8 + 0 + 1 + 8 + 7 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1285909705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

FOOTCARE & MORE LLC

Clinic/Center

(Rehabilitation)

606 KIHEKAH AVE
PAWHUSKA, OK
ZIP 74056

(918) 287-1400

TARA MALASKE

Case Manager/Care Coordinator

606 KIHEKAH AVE
PAWHUSKA, OK
ZIP 74056

(918) 287-5413

CHARLI ANGELIC RIDDLE

Peer Specialist

606 KIHEKAH AVE
PAWHUSKA, OK
ZIP 74056

(918) 287-5413

JENNIFER C MCGLOTHLIN CADC

Counselor

(Addiction (Substance Use Disorder))

606 KIHEKAH AVE
PAWHUSKA, OK
ZIP 74056

(918) 287-5414

JESSICA WALKER

Social Worker

606 KIHEKAH AVE
PAWHUSKA, OK
ZIP 74056

(918) 287-5414

VISIONQUEST INC

Durable Medical Equipment & Medical Supplies

606 KIHEKAH AVE
PAWHUSKA, OK
ZIP 74056

(918) 287-1400

HAPPY FEET LLC

Physical Medicine & Rehabilitation

(Pain Medicine)

606 KIHEKAH AVE
PAWHUSKA, OK
ZIP 74056

(918) 287-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285909705, enumerated as an "individual" on March 16, 2012.

The provider is located at 606 KIHEKAH AVE PAWHUSKA, OK 74056 and the phone number is (918) 287-5426.

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

The provider might be accepting Accepts: Oscar Insurance Company and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.