Wendy Kay Pollock, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011231 Issued in GA

Practice address

14 Eastbrook BND Ste 107
Peachtree City, GA 30269-1520

Phone

(303) 913-6877

Fax

(720) 815-3162

NPI assigned

Nov 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• The Interpersonal Healing Clinic, LLC

  • Community/Behavioral Health Agency
  • Broomfield, CO
  • NPI 1508187154
  NPD (past)

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1821365404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DISCOVERY LAKE DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154696",
            "telephone_number": "303-913-6877",
            "fax_number": "720-815-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BND STE 107",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691520",
            "telephone_number": "303-913-6877",
            "fax_number": "720-815-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Discovery Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302154696",
            "country_code": "US",
            "telephone_number": "303-913-6877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Garden Ctr Ste 152",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800201790",
            "country_code": "US",
            "telephone_number": "303-913-6877",
            "fax_number": "720-815-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "WENDY",
        "middle_name": "KAY",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-25",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-5984",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Renee Pilato, M.S., BCBA
• Betty A Pittman, LPC NCC
• Christopher Allen Pitts, PA-C
• Carolyn R Podolski, OTR/L
• Marilyn T Poff, LCSW
• Alesia Ponder
• Lamura Alyn Poore, MS, RDN, LD
• Lindsay B Pope, D.M.D.
• Michael C Pope, D.M.D.
• Charles J. Popov, LPC

• Professional Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.