Angela Polk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

109463 Issued in CA

Practice address

2450 Valdez St Unit 612
Oakland, CA 94612-3163

Phone

(510) 395-5083

NPI assigned

Jul 29, 2011

Last updated

May 15, 2024By the provider in NPPES

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

Other names 1

• Mrs. Angela Vincent Polk Other name

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1447538194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MARKET ST UNIT 110",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072751",
            "telephone_number": "510-395-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 VALDEZ ST UNIT 612",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123163",
            "telephone_number": "510-395-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "109463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "POLK",
            "middle_name": "VINCENT",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clemente Polines
• Prema Polit, CCC-SLP
• Chyenne Polite
• Orly Politi, LAC
• Lore Politzer
• Cheryl Polk, PHD
• Daylon S Polk
• Melvin Polk
• Tinisha Polk
• Craig Pollack, LAC

• Mental Health Counselor in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.