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

Active since July 29, 2015PECOS EnrolledAccepts Medicare Assignment
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: August 16, 2026.

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 and is a graduate of Other (2020).

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
Medical School CMSOtherGraduated 2020
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
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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 and accepts Medicare assignment

Ryan Polka Lpcc, Ma 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.

PECOS PAC ID2264923754
PECOS Enrollment IDI20251112002813
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 20

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

SIERRA HOPE BLACK
Case Manager/Care Coordinator
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
DAIRA SULJOVIC LPCC, MA
Counselor (Mental Health)
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
DEMETRIUS GRAVES
Case Manager/Care Coordinator
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
GUADALUPE P SANDOVAL RN
Registered Nurse
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-5766
DR. SHERRY ELIZABETH GARDNER PSY. D.
Psychologist (Clinical)
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
MAE WILLIAMS
Counselor (Mental Health)
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
AARON J CANNEY BS
Behavior Analyst
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-9761
KATLYNN WISEMAN BA
Case Manager/Care Coordinator
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200

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 Ryan Polka's NPI number?

The NPI number for Ryan Polka is 1447635685. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Ryan Polka located?

Ryan Polka practices at 1217 Riverside Ave, Fort Collins, CO 80524. The listed phone number is (970) 494-4200.

What is Ryan Polka's specialty?

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

Is Ryan Polka enrolled in Medicare?

Yes. Ryan Polka 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.

When was this NPI record last updated?

The NPPES record for Ryan Polka was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.