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ELIZABETH POLEN LPC
NPI 1619757424
Counselor in Phoenix, AZ

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
1209 S 1ST AVE, PHOENIX, AZ 85003(602) 258-6797 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth Polen Lpc NPPES

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

ELIZABETH POLEN LPC (NPI 1619757424) is an individual counselor in Phoenix, Arizona, licensed in Arizona (LPC-222490) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619757424
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameELIZABETH POLENCredential: LPC
Location Address1209 S 1ST AVEPhoenix, AZ 85003-2692
Mailing Address1209 S 1st AvePhoenix, AZ 85003-2692
Phone(602) 258-6797
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 2, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1619757424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LPC-222490
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1209 S 1ST AVE, Phoenix, AZ 85003
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Secondary Practice Location 1

Location 14500 N 32nd St Ste 201JPhoenix, AZ 85018-0003 · Phone (602) 922-6456

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Elizabeth Polen Lpc 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 ID1951838929
PECOS Enrollment IDI20250102003335
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.

MRS. KIMBERLY RODRIGUEZ
Nurse Practitioner
1209 S 1ST AVE
PHOENIX, AZ 85003
Maricopa County (602) 258-6797
MR. DAVID BURLEIGH FOSTER RN, FNP
Nurse Practitioner (Family)
1209 S 1ST AVE
PHOENIX, AZ 85003
Maricopa County (602) 258-6797
AMIRARSALAN EISSA M.D.
Preventive Medicine (Addiction Medicine)
1209 S 1ST AVE
PHOENIX, AZ 85003
Maricopa County (602) 258-6797
VALLE DEL SOL, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1209 S 1ST AVE
PHOENIX, AZ 85003
Maricopa County (602) 258-6797
RAYCHELLE A. SALTER BHT II
Counselor (Addiction (Substance Use Disorder))
1209 S 1ST AVE
PHOENIX, AZ 85003
Maricopa County (602) 258-6797
CAROL ROGALA D.O.
Emergency Medicine
1209 S 1ST AVE
PHOENIX, AZ 85003
Maricopa County (602) 258-6797
MARLEIGH CORINNE O'MEARA LPC
Counselor (Professional)
1209 S 1ST AVE
PHOENIX, AZ 85003
Maricopa County (602) 258-6797
DR. CHANTE PANTILA DBH
Counselor (Mental Health)
1209 S 1ST AVE
PHOENIX, AZ 85003
Maricopa County (602) 258-6797

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 Elizabeth Polen's NPI number?

The NPI number for Elizabeth Polen is 1619757424. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Elizabeth Polen located?

Elizabeth Polen practices at 1209 S 1st Ave, Phoenix, AZ 85003. The listed phone number is (602) 258-6797.

What is Elizabeth Polen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Elizabeth Polen enrolled in Medicare?

Yes. Elizabeth Polen 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.

What insurance does Elizabeth Polen accept?

Health plans from Blue Cross Blue Shield of Arizona list Elizabeth Polen 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 Elizabeth Polen was last updated on October 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.