EARL ALPHONZO POLK IV
NPI 1346856036
Counselor in Bethel, AK

Active since September 18, 2020
1360 CALISTA DR, BETHEL, AK 99559(907) 543-6830(907) 543-3454 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Earl Alphonzo Polk Iv NPPES

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

EARL ALPHONZO POLK IV (NPI 1346856036) is an individual counselor in Bethel, Alaska and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1346856036
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEARL ALPHONZO POLK IV
Location Address1360 CALISTA DRBethel, AK 99559
Mailing AddressPo Box 528Bethel, AK 99559-0528 · (907) 543-6830 · Fax (907) 543-3454
Fax(907) 543-3454
Sole ProprietorNo
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 16, 2020
NPI 1346856036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1360 CALISTA DR, Bethel, AK 99559

Other Providers at the Same Location NPPES 10

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

Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559

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 Earl Polk's NPI number?

The NPI number for Earl Polk is 1346856036. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Earl Polk located?

Earl Polk practices at 1360 Calista Dr, Bethel, AK 99559. The listed phone number is (907) 543-6830.

What is Earl Polk's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Earl Polk was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.