Kelley J Polk, LIMHP,LADC - Counselor in South Sioux City, NE

Kelley J Polk, LIMHP,LADC is a Counselor - Mental Health based in South Sioux City, Nebraska. Kelley J Polk is licensed to practice in Nebraska (license number 1139) and her current practice location is 625 E 39th St, South Sioux City, Nebraska. She can be reached at her office (for appointments etc.) via phone at (402) 494-0040.

NPI number for Kelley J Polk is 1104092014 and her current mailing address is 625 E 39th St, South Sioux City, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104092014.

Contact Information

Kelley J Polk, LIMHP,LADC
625 E 39th St,
South Sioux City, NE 68776-3445
(402) 494-0040
(402) 494-0050

Healthcare Provider's Profile

Full NameKelley J Polk
GenderFemale
SpecialityCounselor - Mental Health
Location625 E 39th St, South Sioux City, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104092014
  • Provider Enumeration Date: 05/01/2008
  • Last Update Date: 08/27/2013

Medical Identifiers

Medical identifiers for Kelley J Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104092014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 965 (Nebraska)Secondary
101YM0800XCounselor - Mental Health 001074 (Iowa)Secondary
101YM0800XCounselor - Mental Health 3670 (Nebraska)Secondary
101YM0800XCounselor - Mental Health 1139 (Nebraska)Primary

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. Kelley J Polk is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelley J Polk, LIMHP,LADC
625 E 39th St,
South Sioux City, NE 68776-3445

Ph: (402) 494-0040
Kelley J Polk, LIMHP,LADC
625 E 39th St,
South Sioux City, NE 68776-3445

Ph: (402) 494-0040

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Counselor in South Sioux City, NE

Robyn L Watchorn Newbrey, LMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 625 E 39th St, South Sioux City, NE 68776
Phone: 402-494-0040    Fax: 402-494-0050
Lisa Bye,
Counselor
Medicare: Medicare Enrolled
Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776
Phone: 402-494-3337    Fax: 402-494-3356
Carol J Maker, PLMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 625 E 39th St, South Sioux City, NE 68776
Phone: 402-494-0040    Fax: 402-494-0050
Bradley A Rowe, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 917 W 21st St, South Sioux City, NE 68776
Phone: 402-494-3337    
Mr. Gerald Lou Mayo Iii, MSW, PLMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 917 W 21st St, South Sioux City, NE 68776
Phone: 402-494-3337    Fax: 402-494-3356
Marit Westrich,
Counselor
Medicare: Medicare Enrolled
Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776
Phone: 402-494-3337    

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