Individual provider Active NPI

Katherine Pollock, MA

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1659549491
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT18526 Issued in CA
Practice address
1515 Capitola Rd
Suite O
Santa Cruz, CA 95062-2954
Phone
(831) 462-1407
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT18526 CA Primary

Addresses

Primary practice location

1515 Capitola Rd
Suite O
Santa Cruz, CA 95062-2954

Mailing address

1515 Capitola Rd
Suite O
Santa Cruz, CA 95062-2954
Phone (831) 462-1407

Other practice location 1

104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929
Phone (831) 423-9444

Other practice location 2

2901 Park Ave Ste A3
Soquel, CA 95073-2831
Phone (831) 423-9444

Other names 1

  • Kater Pollock Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT18526CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of the Central Coast PastSince May 13, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1659549491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CAPITOLA RD",
            "address_2": "SUITE O",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622954",
            "telephone_number": "831-462-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CAPITOLA RD",
            "address_2": "SUITE O",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622954",
            "telephone_number": "831-462-1407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Walnut Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950603929",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Park Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732831",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "KATHERINE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT18526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATER",
            "last_name": "POLLOCK",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.