ZACHARY KANE POLK (NPI# 1013406701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013406701 |
Entity Type | Individual |
Full Name | ZACHARY KANE POLK |
Credential | MS, LMFT |
Practice Address |
5859 S Kingshighway Blvd Saint Louis MO 63109-3571 |
Mailing Address |
4249 Hartford St Apt 2 Saint Louis MO 63116-1905 |
Practice Telephone | 3146696242 |
Mailing Telephone | 6012016670 |
Enumeration Date | 2018-05-08 |
Last Update Date | 2018-05-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 2016036025 | MO | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053863316 | Zachary Polk | Physical Therapist | 5100 Franklin Ave, Suite C, Waco, TX 76710-6922 | 2016-11-02 |
Street Address |
5859 S KINGSHIGHWAY BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63109-3571 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841421674 | Alison Dibarto | Chiropractor | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2009-07-28 |
1962025833 | Sarah Benkendorf | Social Worker | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2020-05-26 |
1245862580 | Samuel Joseph Donham | Counselor | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2020-02-05 |
1689213209 | Kaitlyn Brown | Counselor | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2019-12-30 |
1184274409 | Ronald Laney | Counselor | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2019-09-18 |
1326605882 | Meredith Rose | Social Worker | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2019-05-21 |
1720546302 | Danielle Silver | Counselor | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2019-03-04 |
1134602949 | Jennifer Lynne Newman | Counselor | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2018-09-09 |
1386134138 | Stacy Blassingame | Counselor | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2018-05-17 |
1851881114 | Leah Polk | Social Worker | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2018-05-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
Find all providers in zip 63109 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326686189 | Megan R Garza | Marriage & Family Therapist | 3720 Hampton Ave Ste 201a, Saint Louis, MO 63109-1438 | 2019-12-11 |
1669902581 | Simara N Blair | Marriage & Family Therapist | 9171 Harold Dr, Saint Louis, MO 63134-3565 | 2017-06-13 |
1467907337 | Carol Love | Marriage & Family Therapist | 6 Lake Pembroke Dr, Saint Louis, MO 63135-1276 | 2016-08-22 |
1114343613 | Kristin Malat | Marriage & Family Therapist | 1506 Water Wood Ln, Saint Louis, MO 63146-4826 | 2014-03-10 |
1457503179 | Andrew Scott Brimhall | Marriage & Family Therapist | 3500 Lindell Blvd, Fitzgerald Hall, Suite 10, Saint Louis, MO 63103-1021 | 2008-10-13 |
1518167352 | Elizabeth Fryer | Marriage & Family Therapist | 11917 Claychester Dr, Saint Louis, MO 63131-4140 | 2007-07-19 |
1710196050 | Mary Pat Henehan | Marriage & Family Therapist | 16 Bon Hills Dr, Saint Louis, MO 63132-3602 | 2007-05-22 |
1487861399 | Michele Merrell Bryan | Marriage & Family Therapist | 24 Dromara Rd, Saint Louis, MO 63124-1815 | 2007-05-17 |
1790991404 | Valerie A. Dixon | Marriage & Family Therapist | 4236 Lindell Blvd, Saint Louis, MO 63108-2948 | 2007-05-16 |
1053486464 | Meredith D. Roberts | Marriage & Family Therapist | 425 N New Ballas Rd, Suite 195, Saint Louis, MO 63141-6814 | 2006-11-21 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63109 |
Please comment or provide details below to improve the information on ZACHARY KANE POLK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.