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KELLEY J POLK LIMHP,LADC
NPI 1104092014
Counselor - Mental Health in Sioux City, IA

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
507 7TH ST STE 213, SIOUX CITY, IA 51101(712) 870-1445(712) 248-8866 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelley J Polk Limhp,ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY J POLK LIMHP,LADC (NPI 1104092014) is an individual mental health provider in Sioux City, Iowa, licensed in Iowa (001074) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104092014
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLEY J POLKCredential: LIMHP,LADC
Location Address507 7TH ST STE 213Sioux City, IA 51101-1125
Mailing Address507 7th St Ste 213Sioux City, IA 51101-1125 · (712) 870-1445 · Fax (712) 248-8866
Phone(712) 870-1445
Fax(712) 248-8866
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 1, 2008
Last NPPES UpdateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1104092014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IA · 001074✔ Licensed in NE · 1139
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 965 (NE)
507 7TH ST STE 213, Sioux City, IA 51101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelley J Polk Limhp,ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729363775
PECOS Enrollment IDI20260202001340
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelley Polk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Counseling Services, PLLC
Same address
Mental Health
507 7TH ST STE 213
Sioux City, IA 51101
  • Reassigned Medicare billing, Iowa enrollment
NPI 1497147011 (712) 870-1445

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIER COUNSELING SERVICES, PLLC
Counselor (Mental Health)
507 7TH ST STE 213
SIOUX CITY, IA 51101
Woodbury County (712) 870-1445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Polk's NPI number?

The NPI number for Kelley Polk is 1104092014. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Kelley Polk located?

Kelley Polk practices at 507 7th St Ste 213, Sioux City, IA 51101. The listed phone number is (712) 870-1445.

What is Kelley Polk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelley Polk enrolled in Medicare?

Yes. Kelley Polk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelley Polk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Polk reassigns Medicare benefits to Premier Counseling Services, PLLC (Sioux City, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Polk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and HealthPartners and 5 other insurers list Kelley Polk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelley Polk was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.