RYAN POLKA LPCC, MA
NPI 1447635685
Counselor - Mental Health in Fort Collins, CO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since July 29, 2015PECOS Enrolled

1217 RIVERSIDE AVE, FORT COLLINS, CO 80524(970) 494-4200 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Ryan Polka Lpcc, Ma NPPES

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

RYAN POLKA LPCC, MA (NPI 1447635685) is an individual mental health provider in Fort Collins, Colorado, licensed in Colorado (LPCC.0017909) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447635685

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameRYAN POLKACredential: LPCC, MA

Location Address1217 RIVERSIDE AVEFort Collins, CO 80524-3218

Mailing Address4856 Innovation Dr Ste BFort Collins, CO 80525-5540 · (970) 494-4200

Phone(970) 494-4200

Sole ProprietorNo

Enumeration DateJuly 29, 2015

Last NPPES UpdateOctober 23, 2020

NPPES CertifiedOctober 23, 2020

✔ NPI 1447635685 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 CO · LPCC.0017909

1217 RIVERSIDE AVE, Fort Collins, CO 80524

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Polka Lpcc, Ma 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.