ANITA B POLZIN (MA, LPC) – Counselor, NPI 1053721290

ANITA B POLZIN (MA, LPC) is a healthcare provider. based in Saint charles, Missouri. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPC. They hold a License No. 2022022871 (MO). The NPI Number for ANITA B POLZIN (MA, LPC) is 1053721290

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ANITA B POLZIN (MA, LPC)
NPI
1053721290
Phone
(636) 224-1202
Address
1601 Old South River Rd
Enumeration Date
28 April 2014
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143611630
Graduation Year
2011 (15 years ago)
PAC ID
8527415561
Group Practice PAC ID
0244256246
Professional Enrollment ID
I20231219003922
Address ID
MO631163510SA4066XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,232 MENTAL HEALTH COUNSELOR in MO

Provider Addresses for ANITA B POLZIN (MA, LPC)

  • 1601 Old South River Rd

    Saint Charles, MO 633034120

    Phone: (636) 224-1202

    Type: Location

  • 605 E Booneslick Rd

    Warrenton, MO 633832100

    Phone: (636) 224-1500

    Type: Location

  • 7 Westowne St

    Liberty, MO 640681166

    Phone: (816) 407-1754

    Type: Location

  • 900 E Laharpe St

    Kirksville, MO 635014520

    Phone: (660) 665-1962

    Type: Location

  • 4928 Delmar Blvd

    Saint Louis, MO 631081615

    Phone: (314) 899-0846

    Type: Location

  • 7020 Chippewa St

    Saint Louis, MO 631195602

    Phone: (314) 772-2205

    Type: Location

  • 101 Adams St

    Jefferson City, MO 651013058

    Phone: (573) 556-6589

    Type: Location

  • 4355 Paris Gravel Rd

    Hannibal, MO 634016017

    Phone: (573) 603-1460

    Type: Location

  • 10024 Office Center Ave Ste 100

    Saint Louis, MO 631281392

    Phone: (314) 729-7050

    Type: Location

  • 2411 W Catalpa St

    Springfield, MO 658071123

    Phone: (417) 862-3455

    Type: Location

  • 2120 Parkway Dr

    Saint Peters, MO 633766459

    Phone: (636) 333-2583

    Type: Location

  • 1628 Oklahoma Ave

    Trenton, MO 646832565

    Phone: (660) 359-4600

    Type: Location

  • 210 Hoover Rd

    Jefferson City, MO 651090800

    Phone: (573) 632-4321

    Type: Location

  • 5620 W Wildwood Ranch Pkwy

    Joplin, MO 648044520

    Phone: (417) 623-1990

    Type: Location

  • 500 Clark Ave

    Union, MO 630841004

    Phone: (636) 584-8724

    Type: Location

  • 2 Westbury Dr

    Saint Charles, MO 633012596

    Phone: (636) 946-6376

    Type: Location

  • 1125 E Cherry St

    Troy, MO 633791520

    Phone: (636) 224-1500

    Type: Location

  • 2415 W Catalpa St

    Springfield, MO 658071123

    Phone: (417) 862-3455

    Type: Location

  • 8333 E Blue Pkwy

    Kansas City, MO 641334750

    Phone: (816) 474-7677

    Type: Location

  • 1570 S Main St

    Saint Charles, MO 633034149

    Phone: (636) 224-1000

    Type: Location

  • 11701 W Florissant Ave

    Florissant, MO 630336744

    Phone: (314) 972-8132

    Type: Location

  • 1101 Jamison St

    Kirksville, MO 635013943

    Phone: (660) 665-1962

    Type: Location

  • 1901 E Hamilton St

    Kirksville, MO 635013904

    Phone: (660) 665-1962

    Type: Location

  • 3015 E SKELLY DR

    SUITE 103

    TULSA, OK 741056317

    Phone: (918) 712-0859

    Fax: (918) 388-6456

    Type: Mailing

  • 1601 OLD SOUTH RIVER RD

    SAINT CHARLES, MO 633034120

    Phone: (636) 246-1210

    Fax: (636) 246-1008

    Type: Mailing

  • 4066 DUNNICA AVE

    SAINT LOUIS, MO 631163510

    Phone: (636) 224-1700

    Fax: (314) 535-5917

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231211002437IMental Health CounselorOKTBD
I20231219003922IMental Health CounselorMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244256246View full group profile
NameSpecialtyState
Mental Health CounselorOK
-OK
Mental Health CounselorMO
P S Y C H I A T R YMO
Mental Health CounselorMO
P S Y C H I A T R YMO
Mental Health CounselorMO
Mental Health CounselorMO
Nurse PractitionerMO
Mental Health CounselorOK

Reviews

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Frequently asked questions

Is ANITA B POLZIN (MA, LPC) listed with a National Provider Identifier?
Yes — ANITA B POLZIN (MA, LPC) has NPI 1053721290 on file in the registry.
Is ANITA B POLZIN (MA, LPC) shown as active in public data?
Registry records indicate ANITA B POLZIN (MA, LPC) maintains an active NPI.
What kind of doctor is ANITA B POLZIN (MA, LPC)?
ANITA B POLZIN (MA, LPC) is associated with Counselor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ANITA B POLZIN (MA, LPC)?
Directory geography for ANITA B POLZIN (MA, LPC) centers on Saint Charles, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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