Latoya Nichole Polk, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006396 Issued in GA

Practice address

867 Buie Way
Lawrenceville, GA 30045-7191

Phone

(678) 598-1234

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1265060370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 BUIE WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457191",
            "telephone_number": "678-598-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BUIE WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457191",
            "telephone_number": "678-598-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "LATOYA",
        "middle_name": "NICHOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "100.80.248.1",
            "affiliation": "N",
            "endpointDescription": "LaToya N. Polk",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "867 Buie Way",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300457191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Podlaski
• Joseph F Pohl, M.D.
• Lauren Pohl, RDN
• Donald E Poland, M.D.
• Ervin Polite
• Darling Kariso Pollyn-Hill
• Jay Howard Polokoff, M.D.
• Kwanika Pomales
• Chelsa Ponder, OTR/L
• Nadege Laure Pone, NP

• Professional Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.