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KEVIN POLK
NPI 1376184820
Marriage & Family Therapist in Springfield, IL

Active since October 07, 2019
350 BOURBON ST, SPRINGFIELD, IL 62707(209) 627-7677 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Polk NPPES

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

KEVIN POLK (NPI 1376184820) is an individual marriage & family therapist in Springfield, Illinois and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1376184820
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKEVIN POLK
Location Address350 BOURBON STSpringfield, IL 62707-2702
Mailing Address350 Bourbon StSpringfield, IL 62707-2702 · (209) 627-7677
Phone(209) 627-7677
Sole ProprietorNo
Enumeration DateOctober 7, 2019
✔ NPI 1376184820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
350 BOURBON ST, Springfield, IL 62707
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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 Kevin Polk's NPI number?

The NPI number for Kevin Polk is 1376184820. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Kevin Polk located?

Kevin Polk practices at 350 Bourbon St, Springfield, IL 62707. The listed phone number is (209) 627-7677.

What is Kevin Polk's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kevin Polk was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.