Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Roberta Polkinghorn, MA, CMHC, LPC, CPC

Individual provider Mental Health Counselor · NPI 1740681964

MS. Roberta Polkinghorn, MA, CMHC, LPC, CPC is a Mental Health Counselor in Sandy, Utah. Qualified in 2010, 16 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
CPC — Certified Professional Coder
A medical coding credential, not a clinical one.

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Practice location Address checks out

1553 E Owenwood Cir
Sandy, UT 84092-5381
Phone: (801) 518-3554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10728504-6004 (UT)

Record details

NPI number1740681964
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CMHC , LPC , CPC
Sole proprietorYes
NPI enumeratedSeptember 7, 2014
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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