Active NPI
Alicia M Polk, LPC, PLPC
- Professional Counselor
- Belton, MO
National Provider Identifier
1336650779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3088
- Practice address
- 136 Cherry Hill Dr
Belton, MO 64012-4223 - Phone
- (816) 226-4678
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3088 | KS | Primary |
Addresses
Primary practice location
136 Cherry Hill Dr
Belton, MO 64012-4223
Mailing address
136 Cherry Hill Dr
Belton, MO 64012-4223
Phone (816) 226-4678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3088 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E&a Counseling Services, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Belton, MO
- NPI 1962984195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1336650779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 CHERRY HILL DR",
"city": "BELTON",
"state": "MO",
"postal_code": "640124223",
"telephone_number": "816-226-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 CHERRY HILL DR",
"city": "BELTON",
"state": "MO",
"postal_code": "640124223",
"telephone_number": "816-226-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLK",
"first_name": "ALICIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPC, PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.