KEVIN POLK


Address: 350 Bourbon St, Springfield, IL 62707-2702
Phone: 2096277677

KEVIN POLK (NPI# 1376184820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376184820
Entity Type Individual
Full Name KEVIN POLK
Practice Address 350 Bourbon St
Springfield
IL 62707-2702
Practice Telephone 2096277677
Mailing Telephone 2096277677
Enumeration Date 2019-10-07
Last Update Date 2019-10-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Providers KEVIN POLK

NPI Name Taxonomy Address Enumeration
1578719969 Kevin Lee Polk Psychologist 93 Second St, Hallowell, ME 04347-1450 2008-08-18

Office Location

Street Address 350 BOURBON ST
City SPRINGFIELD
State IL
Zip Code 62707-2702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730405051 Bret Lee Miller Pharmacist 3250 Clear Lake Ave, Springfield, IL 62707 2010-04-12
1740402890 Bennie Joe Manley Counselor 3200 Shaler Road, Springfield, IL 62707 2007-05-02
1568493336 Andrea N. Johnson Counselor 3270 Moore Rd, Springfield, IL 62707-2515 2006-07-06
1205050192 Amaretta Marie Gilmer Speech-Language Pathologist 4046 Mcconnell Ct, Springfield, IL 62707-3018 2007-04-12
1376766204 Marcia H. Bunchman Speech-Language Pathologist 34 Cabin Smoke Trl, Springfield, IL 62707-4509 2007-04-10
1205027026 Christie M Davis Physical Therapist 51 Frontier Lake Dr, Springfield, IL 62707-7726 2007-08-06
1912975160 Harold Jay Bruninga Ophthalmology 900 Capital Airport Dr, Springfield, IL 62707-8410 2006-03-12
1982044889 Stouffer Clinical Counseling & Consulting LLC Community/Behavioral Health 900 Capital Airport Dr, Springfield, IL 62707-8410 2013-06-25
1407296395 Kevin R Stouffer Counselor 900 Capital Airport Dr, Springfield, IL 62707-8410 2013-06-25
1841810512 Kathleen Dawn Nicholson-schahl Occupational Therapist 920 Estill Dr, Springfield, IL 62707-8561 2020-04-22
Find all providers in zip 62707

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033655535 Jeffrey Bentley Marriage & Family Therapist 61 Woodlawn St, Springfield, MA 01108-3064 2017-01-09
1366815722 Megyn Wilson Marriage & Family Therapist 575 Shrine Rd, Springfield, OH 45504-3927 2015-11-06
1871928119 David Brown Marriage & Family Therapist 1931 E Cherry St, Springfield, MO 65802 2013-09-05
1013126986 Kristi Palmer Kaag Marriage & Family Therapist 1863 Pioneer Pkwy E, #304, Springfield, OR 97477-3907 2007-05-21
1457569832 Leslie R Lovestead Marriage & Family Therapist 8510 Wild Spruce Dr, Springfield, VA 22153-1800 2007-05-18
1902995467 Kristin N Ong I Marriage & Family Therapist 8000 Forbes Pl, Springfield, VA 22151-2200 2006-10-12
1316048499 Judith Ellen Ruff Marriage & Family Therapist 120 South 11th St, Catholic Charities, Springfield, IL 62703 2006-09-25
1467559187 Howard Daniel Cameron Marriage & Family Therapist 3023 S Fort Ave, Suite B, Springfield, MO 65807-4272 2006-09-17
1457457095 Carrin Brandt Marriage & Family Therapist 7314 Beechwood Dr, Springfield, VA 22153-2336 2006-09-14
1487759148 Kay F Klinkenberg Marriage & Family Therapist 1124 South Fifth St, Springfield, IL 62703 2006-09-14
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62707

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Dataset Information

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.

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