Premier Counseling Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001074 Issued in IA

Legal business name

PREMIER COUNSELING SERVICES, PLLC

Practice address

507 7TH St Ste 213
Sioux City, IA 51101-1125

Phone

(712) 870-1445

Fax

(712) 248-8866

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Kelley J Polk, LMHCNPI 1104092014

Title

Owner/Therapist

Phone

(712) 870-1445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley J Polk, LIMHP,LADC

  • Mental Health Counselor
  • Sioux City, IA
  • NPI 1104092014
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1497147011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 MACOMB AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061626",
            "telephone_number": "712-870-1445",
            "fax_number": "712-248-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 7TH ST STE 213",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011125",
            "telephone_number": "712-870-1445",
            "fax_number": "712-248-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "712-870-1445",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth N Pratt, ARNP
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• Premier Estates 510, LLC
• Krista Lee Pridie, PTA
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• Progressive Mental Health Solutions LLC
• Rachel Propst, PHARMD

• Mental Health Counselor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.