Individual provider Active NPI

Stefanie Pollack, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1114674231
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
114 E Danbury Rd
Phoenix, AZ 85022-2326
Phone
(623) 308-6728
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

114 E Danbury Rd
Phoenix, AZ 85022-2326

Mailing address

114 E Danbury Rd
Phoenix, AZ 85022-2326

Other practice location 1

7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3902
Phone (520) 327-1529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001002858 AZ Practitioner - Mental Health Counselor 2769988435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2850 N Country Club Rd
Tucson, AZ 85716-1910

7750 E Broadway Blvd
Suite A200
Tucson, AZ 85710-3903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Blake Foundation CurrentSince Aug 1, 2025 Accepting new patients
Easter Seals Blake Foundation Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Easter Seals Blake Foundation Current Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients

Locations

1115 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

900 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

6306 N 7th St
Phoenix, AZ 85014
Phone (602) 279-5801

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1114674231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E DANBURY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E DANBURY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222326",
            "telephone_number": "623-308-6728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7750 E Broadway Blvd Ste A100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857103902",
            "country_code": "US",
            "telephone_number": "520-327-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "STEFANIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.