Individual provider Active NPI

Wendy Kay Pollock, MA, LPC, LMHC

  • Professional Counselor
  • Peachtree City, GA
National Provider Identifier
1821365404
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-5984 Issued in CO
Practice address
14 Eastbrook BND Ste 222
Peachtree City, GA 30269-1522
Phone
(303) 913-6877
Fax
(720) 815-3162
NPI assigned
Nov 25, 2011
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-5984 CO Primary
Professional Counselor 101YP2500X LPC011231 GA
Mental Health Counselor 101YM0800X 116206 IA

Addresses

Primary practice location

14 Eastbrook BND Ste 222
Peachtree City, GA 30269-1522

Mailing address

6025 Saddlehorn Dr
Timnath, CO 80547-4329
Phone (303) 913-6877

Other practice location 1

80 Garden Ctr Ste 152
Broomfield, CO 80020-1790
Phone (303) 913-6877

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240212004311 GA Practitioner - Mental Health Counselor 2567805062 Practice locations: Peachtree Cty, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-5984COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Interpersonal Healing Clinic, LLC PastSince Feb 6, 2012 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1821365404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 SADDLEHORN DR",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474329",
            "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 222",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691522",
            "telephone_number": "303-913-6877",
            "fax_number": "720-815-3162"
        }
    ],
    "practiceLocations": [
        {
            "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, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-25",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-5984",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011231",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "116206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.