Individual provider Active NPI

Linda Jean Pollack, LPC, LISAC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1477952992
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10720 Issued in AZ
Practice address
4250 E Camelback Rd
Suite K300
Phoenix, AZ 85018-8301
Phone
(602) 343-8232
Fax
(602) 343-8233
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-10177 AZ
Professional Counselor 101YP2500X LPC-10720 AZ Primary

Addresses

Primary practice location

4250 E Camelback Rd
Suite K300
Phoenix, AZ 85018-8301

Mailing address

4250 E Camelback Rd
Suite K300
Phoenix, AZ 85018-8301
Phone (602) 343-8232

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
I20260605003872 AZ Practitioner - Mental Health Counselor 3173094562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Escalera Health LLCGroup PAC ID 1951650985, 55 clinicians

Practice addresses (Care Compare)

5757 W Thunderbird Rd
Suite E454
Glendale, AZ 85306-4646
Phone (480) 870-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-10177AZMDAddiction (Substance Use Disorder) Counselor
LPC-10720AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Behavioral Health Center PC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1477952992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 E CAMELBACK RD",
            "address_2": "SUITE K300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188301",
            "telephone_number": "602-343-8232",
            "fax_number": "602-343-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 E CAMELBACK RD",
            "address_2": "SUITE K300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188301",
            "telephone_number": "602-343-8232",
            "fax_number": "602-343-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPC, LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10177",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.