MS. ROBERTA POLKINGHORN MA, CMHC, LPC, CPC,
NPI 1740681964
Counselor - Mental Health in Sandy, UT

Active since September 07, 2014PECOS EnrolledAccepts Medicare Assignment
1553 E OWENWOOD CIR, SANDY, UT 84092(801) 518-3554 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Roberta Polkinghorn Ma, Cmhc, Lpc, Cpc, NPPES

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

MS. ROBERTA POLKINGHORN MA, CMHC, LPC, CPC, (NPI 1740681964) is an individual mental health provider in Sandy, Utah, licensed in Utah (10728504-6004) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1740681964
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ROBERTA POLKINGHORNCredential: MA, CMHC, LPC, CPC,
Location Address1553 E OWENWOOD CIRSandy, UT 84092-5381
Mailing Address1553 E Owenwood CirSandy, UT 84092-5381 · (801) 518-3554
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 7, 2014
Last NPPES UpdateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
NPI 1740681964 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 UT · 10728504-6004
1553 E OWENWOOD CIR, Sandy, UT 84092

Other Identifiers 4

Other0701011742VA · Lpc
Other267724Ncc
Other10728504-6004UT · Cmhc
OtherCP5288-RNV · Cpc

Accepted 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

Ms. Roberta Polkinghorn Ma, Cmhc, Lpc, Cpc, 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 ID8426585720
PECOS Enrollment IDI20241227001893
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

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

Clinic/Center (Adult Mental Health)
1553 E OWENWOOD CIR
SANDY, UT 84092

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 Roberta Polkinghorn's NPI number?

The NPI number for Roberta Polkinghorn is 1740681964. It was assigned to this individual provider in the NPPES registry on September 7, 2014.

Where is Roberta Polkinghorn located?

Roberta Polkinghorn practices at 1553 E Owenwood Cir, Sandy, UT 84092. The listed phone number is (801) 518-3554.

What is Roberta Polkinghorn's specialty?

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

Is Roberta Polkinghorn enrolled in Medicare?

Yes. Roberta Polkinghorn 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 Roberta Polkinghorn accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Utah list Roberta Polkinghorn 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 Roberta Polkinghorn was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.