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MR. DAVID POLINSKI JR. LMHC
NPI 1619766656
Counselor - Mental Health in Ft Lauderdale, FL

Active since May 05, 2025PECOS EnrolledAccepts Medicare Assignment
4009 NE 21ST AVE APT 11, FT LAUDERDALE, FL 33308(954) 600-1576 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. David Polinski Jr. Lmhc NPPES

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

MR. DAVID POLINSKI JR. LMHC (NPI 1619766656) is an individual mental health provider in Ft Lauderdale, Florida, licensed in Florida (25659) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619766656
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DAVID POLINSKI JR.Credential: LMHC
Location Address4009 NE 21ST AVE APT 11Ft Lauderdale, FL 33308-5666
Mailing Address4009 Ne 21st Ave Apt 11Ft Lauderdale, FL 33308-5666 · (954) 600-1576
Phone(954) 600-1576
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1619766656 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 FL · 25659
4009 NE 21ST AVE APT 11, Ft Lauderdale, FL 33308
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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

Mr. David Polinski Jr. Lmhc 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 ID6305312141
PECOS Enrollment IDI20260418000329
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.

Medicare Billing Reassignment

Medicare enrollment records show David Polinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Moon Senior Counseling
1,166 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Florida enrollment
  • 57 clinicians in this Medicare group
NPI 1205129186 (855) 241-7160

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 David Polinski's NPI number?

The NPI number for David Polinski is 1619766656. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is David Polinski located?

David Polinski practices at 4009 NE 21st Ave Apt 11, Ft Lauderdale, FL 33308. The listed phone number is (954) 600-1576.

What is David Polinski's specialty?

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

Is David Polinski enrolled in Medicare?

Yes. David Polinski 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 David Polinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Polinski reassigns Medicare benefits to Blue Moon Senior Counseling (Plainfield, IL). 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 David Polinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Polinski was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.