Polaris Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

POLARIS THERAPY LLC

Practice address

402 E Yakima Ave Ste 447E
Yakima, WA 98901-5407

Phone

(509) 885-7374

NPI assigned

Oct 12, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Dustin James JindraNPI 1972085736

Title

Owner/Therapist

Phone

(509) 885-7374

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Jindra

  • Mental Health Counselor
  • Yakima, WA
  • NPI 1972085736
  NPD Authorized official

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1982320941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 W CLEARWATER AVE STE 17",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361980",
            "telephone_number": "509-885-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E YAKIMA AVE STE 447E",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989015407",
            "telephone_number": "509-885-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "JINDRA",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "509-885-7374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.polaristherapyllc.com",
            "affiliation": "N",
            "endpointDescription": "Client Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Scheduling/Booking",
            "address_1": "402 E Yakima Ave Ste 447E",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989015407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Audra Jeanette Podruzny, MSN RN CPAN
• Matthew Pokrifchak, PHARM.D.
• Tasha Pola, MASSAGE THERAPIST
• Cheri Noelle Polak, BA
• Aracely Polanco
• Charlene Polina
• Robert Lee Pollard Jr., RPH. MHA
• Lurdes Ponce, RN
• Ponderosa Retirement Center Inc.
• Jennifer Kohnlein Pontarolo, D.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Yakima, WA
• Providers in Yakima, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.