Antionette Pollard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13945 Issued in FL

Practice address

918 E Oleander St Ste 1
Lakeland, FL 33801-5114

Phone

(863) 651-7969

NPI assigned

Sep 16, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Piece of Zen, LLC

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1235662396
  NPD Authorized official

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1962838573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 E OLEANDER ST STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015114",
            "telephone_number": "863-651-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 E OLEANDER ST STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015114",
            "telephone_number": "863-651-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "ANTIONETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13945",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polk Concierge Medical Group, LLC
• Polk County Board of County Commissioners
• Polk Emergency Group LLC
• Polk Wellcare Corp
• Jessica Polk
• Janet L Pollock, PTA
• Dianne Polsen- Haas, MD
• Elizabeth Ann Polston, PHD, ARNP, WHNP-BC
• Laurie Pomella, APRN
• Ana Lesinay Pompa Gomez, RBT

• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.