TANAGER YVONNE POLOWCHAK MA, LPCC
NPI 1336418730
Counselor - Professional in Blaine, MN
NPI Status: Active since December 14, 2011
Contact Information
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN
ZIP 55449
Phone: (763) 343-9010
Fax: (763) 343-9011
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- PECOS Enrolled
About TANAGER POLOWCHAK
This page provides the complete NPI Profile along with additional information for Tanager Polowchak, a provider established in Blaine, Minnesota with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1336418730 assigned on December 2011. The practitioner's primary taxonomy code is 101YP2500X with license number 2804 (MN). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1336418730
- Provider Name
- TANAGER YVONNE POLOWCHAK MA, LPCC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10729 TOWN SQUARE DR NE STE 120 BLAINE, MN 55449
- Location Phone
- (763) 343-9010
- Location Fax
- (763) 343-9011
- Mailing Address
- 1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 55112
- Mailing Phone
- (651) 628-9566
- Mailing Fax
- (763) 343-9011
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-14-2011
- Last Update Date
- 04-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2804
- License State
- MN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LPCC2804 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Tanager Polowchak is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for TANAGER YVONNE POLOWCHAK MA, LPCC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 4 | 1 | 8 | 7 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 8 | 1 | 16 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 8 + 1 + 1 + 6 + 7 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336418730 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164071148 | DR. AMY MORAN WHEELECOR PSYD, LP Individual | Psychologist | 10729 TOWN SQUARE DR NE STE 120 BLAINE, MN 55449 (763) 343-9010 |
| 1760148910 | ROBERT B STEIN Individual | Social Worker (Clinical) | 10729 TOWN SQUARE DR NE STE 120 BLAINE, MN 55449 (763) 343-9010 |
| 1164007282 | MS. TAYLOR KRISTINE VACCA MA, BS Individual | Counselor (Professional) | 10729 TOWN SQUARE DR NE STE 120 BLAINE, MN 55449 (763) 343-9010 |
| 1659777399 | LINDSAY JAN SCHWAB-PETERSON NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 10729 TOWN SQUARE DR NE STE 120 BLAINE, MN 55449 (763) 343-9010 |
| 1104646454 | MARY KELLER Individual | Counselor (Addiction (Substance Use Disorder)) | 10729 TOWN SQUARE DR NE STE 120 BLAINE, MN 55449 (763) 343-9010 |
| 1629875430 | CAMBRIA LYNE FISHER Individual | Counselor (Professional) | 10729 TOWN SQUARE DR NE STE 120 BLAINE, MN 55449 (763) 343-9010 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336418730, enumerated in the NPI registry as an "individual" on December 14, 2011
The provider is located at 10729 Town Square Dr Ne Ste 120 Blaine, Mn 55449 and the phone number is (763) 343-9010
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on December 14, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.