Individual provider Active NPI

Carolyn Roberts Polk, LPC

  • Mental Health Counselor
  • Charleston, SC
National Provider Identifier
1710883723
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9221 Issued in SC
Practice address
928 Savage Rd
Charleston, SC 29414-5656
Phone
(843) 377-5322
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9221 SC Primary

Addresses

Primary practice location

928 Savage Rd
Charleston, SC 29414-5656

Mailing address

2115 River Rd
Johns Island, SC 29455-8870
Phone (843) 343-5927

Other practice location 1

2115 River Rd
Johns Island, SC 29455-8870
Phone (843) 343-5927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1710883723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 RIVER RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558870",
            "telephone_number": "843-343-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 SAVAGE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145656",
            "telephone_number": "843-377-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 River Rd",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294558870",
            "country_code": "US",
            "telephone_number": "843-343-5927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLK",
        "first_name": "CAROLYN",
        "middle_name": "ROBERTS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.