RITA IRENE POLIVICK M.S., LCSW,
NPI 1437387537
Counselor - Mental Health in Fort Wayne, IN
About Rita Irene Polivick M.s., Lcsw, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RITA IRENE POLIVICK M.S., LCSW, (NPI 1437387537) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (34003316A) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1978).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Rita Irene Polivick M.s., Lcsw, 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.
Medicare Billing Reassignment
Medicare enrollment records show Rita Polivick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, Indiana enrollment
- 16 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46805
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 Rita Polivick's NPI number?
The NPI number for Rita Polivick is 1437387537. It was assigned to this individual provider in the NPPES registry on June 26, 2009.
Where is Rita Polivick located?
Rita Polivick practices at 3010 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 471-2300.
What is Rita Polivick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Rita Polivick enrolled in Medicare?
Yes. Rita Polivick 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 Rita Polivick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rita Polivick reassigns Medicare benefits to Brightside Health, Inc. (San Francisco, CA). 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 Rita Polivick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rita Polivick accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Rita Polivick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rita Polivick was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Rita Irene Polivick, M.S., LCSW, · NPI 1437387537
Mental Health provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since June 26, 2009.
## Identity
- **NPI:** 1437387537 (Entity type: Individual)
- **Enumerated:** June 26, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 34003316A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3010 E STATE BLVD, Fort Wayne, IN 46805-4700
- **Phone:** (260) 471-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Health, Inc. (NPI 1073072658, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1978
## Record status
- **NPPES last updated:** June 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1437387537) · Data from the CMS NPPES public registry.