Individual provider Active NPI

Kathryn Ann Rock-Polich, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1750972568
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23357 Issued in AZ
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

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126003950 AZ Practitioner - Mental Health Counselor 3971038084 Reassigns benefits to 2 organizations

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
Denova Collaborative Health, LLCGroup PAC ID 2466437736, 141 clinicians

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

LicenseStateTypeSpecialty
LAC-19488AZMDMental Health Counselor
LPC-23357AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish in Life Inc Professional Current Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Denova Collaborative Health, LLC CurrentSince Mar 17, 2025 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Mar 17, 2025 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.

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

Verify at the official NPI Registry.