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MS. GAYLE R POLSTON MA, LPC, NCC
NPI 1770817462
Counselor - Professional in Florence, SC

Active since September 28, 2009PECOS EnrolledAccepts Medicare Assignment
1807 CHEROKEE RD STE 202, LIFE CHANGING SOLUTIONS, LLC, FLORENCE, SC 29501(843) 669-4233(843) 472-5021 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Gayle R Polston Ma, Lpc, Ncc NPPES

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

MS. GAYLE R POLSTON MA, LPC, NCC (NPI 1770817462) is an individual professional provider in Florence, South Carolina, licensed in South Carolina (5064) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1770817462
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. GAYLE R POLSTONCredential: MA, LPC, NCC
Location Address1807 CHEROKEE RD STE 202, LIFE CHANGING SOLUTIONS, LLCFlorence, SC 29501-3101
Mailing Address704 S Franklin Dr, Life Changing SolutionsFlorence, SC 29501-4504 · (843) 669-4233 · Fax (843) 472-5021
Phone(843) 669-4233
Fax(843) 472-5021
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 28, 2009
Last NPPES UpdateJuly 11, 2013
✔ NPI 1770817462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 5064
1807 CHEROKEE RD STE 202, Florence, SC 29501
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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

Ms. Gayle R Polston Ma, Lpc, Ncc 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 ID3274974472
PECOS Enrollment IDI20240517002301
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 Gayle Polston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifecare Psychology Group, LLC
1.6 mi
Clinical
549 W EVANS ST
Florence, SC 29501
  • Reassigned Medicare billing, South Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1295829026 (843) 667-4949

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
134 services13 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
23 services11 patients

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 Gayle Polston's NPI number?

The NPI number for Gayle Polston is 1770817462. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Where is Gayle Polston located?

Gayle Polston practices at 1807 Cherokee Rd Ste 202 Life Changing Solutions, LLC, Florence, SC 29501. The listed phone number is (843) 669-4233.

What is Gayle Polston's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gayle Polston enrolled in Medicare?

Yes. Gayle Polston 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 Gayle Polston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gayle Polston reassigns Medicare benefits to Lifecare Psychology Group, LLC (Florence, SC). 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 Gayle Polston'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 Gayle Polston was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.