Ms Roberta Polkinghorn, MA, CMHC, LPC, CPC, - Medicare Counselor in Sandy, UT

Ms Roberta Polkinghorn, MA, CMHC, LPC, CPC, is a medicare enrolled "Counselor - Mental Health" provider in Sandy, Utah. Her current practice location is 1553 E Owenwood Cir, Sandy, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 518-3554.

Ms Roberta Polkinghorn is licensed to practice in Utah (license number 10728504-6004) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740681964.

Contact Information

Ms Roberta Polkinghorn, MA, CMHC, LPC, CPC,
1553 E Owenwood Cir,
Sandy, UT 84092-5381
(801) 518-3554
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Roberta Polkinghorn
GenderFemale
SpecialityCounselor - Mental Health
Location1553 E Owenwood Cir, Sandy, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740681964
  • Provider Enumeration Date: 09/07/2014
  • Last Update Date: 12/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426585720
  • Enrollment ID: I20241227001893

Medical Identifiers

Medical identifiers for Ms Roberta Polkinghorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740681964NPI-NPPES
0701011742OtherVALPC
267724OtherNCC
10728504-6004OtherUTCMHC
CP5288-ROtherNVCPC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 10728504-6004 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Roberta Polkinghorn allows following entities to bill medicare on her behalf.
Entity NameHarmony Station Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619715174
PECOS PAC ID: 7517494818
Enrollment ID: O20241227001857

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Roberta Polkinghorn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Roberta Polkinghorn, MA, CMHC, LPC, CPC,
1553 E Owenwood Cir,
Sandy, UT 84092-5381

Ph: (801) 518-3554
Ms Roberta Polkinghorn, MA, CMHC, LPC, CPC,
1553 E Owenwood Cir,
Sandy, UT 84092-5381

Ph: (801) 518-3554

Reviews and Comments


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Phone: 801-215-9445    Fax: 801-930-5018

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.