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JEREMY POLING LPC
NPI 1962925818
Counselor - Professional in Rockingham, VA

Active since July 24, 2017PECOS Enrolled
3617 BUTTERMILK CREEK RD, ROCKINGHAM, VA 22802(540) 830-1777(540) 466-1770 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jul 24, 2017 (2 updates tracked since 2017).

About Jeremy Poling Lpc NPPES

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

JEREMY POLING LPC (NPI 1962925818) is an individual professional provider in Rockingham, Virginia, licensed in Virginia (0701007197) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bridgewater.

NPPES Registry Identity

NPI1962925818
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEREMY POLINGCredential: LPC
Location Address3617 BUTTERMILK CREEK RDRockingham, VA 22802-1022
Mailing Address5530 Gladeview DrBridgewater, VA 22812-9701 · (540) 830-1777 · Fax (540) 466-1770
Phone(540) 830-1777
Fax(540) 466-1770
Sole ProprietorYes
Enumeration DateJuly 24, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1962925818 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 VA · 0701007197
3617 BUTTERMILK CREEK RD, Rockingham, VA 22802
Open in Google Maps ↗

Secondary Practice Location 1

Location 15530 Gladeview DrBridgewater, VA 22812-9701 · Phone (540) 830-1777 · Fax (540) 466-1770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Poling Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

POLING THERAPEUTIC GROUP LLC
Counselor (Professional)
3617 BUTTERMILK CREEK RD
ROCKINGHAM, VA 22802
Rockingham County (540) 830-1777

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 Jeremy Poling's NPI number?

The NPI number for Jeremy Poling is 1962925818. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Jeremy Poling located?

Jeremy Poling practices at 3617 Buttermilk Creek Rd, Rockingham, VA 22802. The listed phone number is (540) 830-1777.

What is Jeremy Poling's specialty?

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

Is Jeremy Poling enrolled in Medicare?

Yes. Jeremy Poling is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Poling was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.