Active NPI
Kathryn Ann Rock-Polich, LPC
- Professional Counselor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-23357
- Practice address
- 610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536 - Phone
- (602) 230-7373
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-19488 | AZ | |
| Professional Counselor | 101YP2500X | LPC-23357 | AZ | Primary |
Addresses
Primary practice location
610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Mailing address
3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635
Phone (602) 230-7373
Other practice location 1
2001 W Orange Grove Rd
Tucson, AZ 85704-1139
Phone (520) 775-3500
Other practice location 2
1021 E Palmdale St Ste 150-190
Tucson, AZ 85714-1857
Phone (520) 333-4320
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
610 E Baseline Rd
Suite C 5
Phoenix, AZ 85042-6536
Phone (602) 230-7373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-19488 | AZ | MD | Mental Health Counselor |
| LPC-23357 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish in Life Inc | Professional | Current | Accepting new patients |
| Community Partners Integrated Healthcare, Inc. | Current | Accepting new patients | |
| Denova Collaborative Health, LLC | Current | Accepting new patients | |
| Denova Collaborative Health, LLC | Current | Accepting new patients | |
| Denova Collaborative Health, LLC | Current | Accepting new patients |
Locations
610 E Baseline Rd
Ste 5
Phoenix, AZ 85042
3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289
3101 N Central Ave
Ste 500
Phoenix, AZ 85012
610 E Baseline Rd
Ste C5
Phoenix, AZ 85042
3101 N Central Ave
Ste 550
Phoenix, AZ 85012
1021 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 407-5353
5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701
1021 E Palmdale St
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1609300854
-
- Professional Counselor
- Sahuarita, AZ
- NPI 1811877277
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1669897385
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1700668795
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1740079060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1750972568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 N CENTRAL AVE STE 550",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122635",
"telephone_number": "602-230-7373",
"fax_number": "602-682-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E BASELINE RD STE 5",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426536",
"telephone_number": "602-230-7373"
}
],
"practiceLocations": [
{
"address_1": "2001 W Orange Grove Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857041139",
"country_code": "US",
"telephone_number": "520-775-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1021 E Palmdale St Ste 150-190",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857141857",
"country_code": "US",
"telephone_number": "520-333-4320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCK-POLICH",
"first_name": "KATHRYN",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-19488",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-23357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.