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SHANE MICHAEL POLK
NPI 1568978799
Counselor in Bethel, AK

Active since December 26, 2017
841 STATE HWY, BETHEL, AK 99559(907) 543-6731 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2020, Dec 26, 2017 (2 updates tracked since 2017).

About Shane Michael Polk NPPES

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

SHANE MICHAEL POLK (NPI 1568978799) is an individual counselor in Bethel, Alaska and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1568978799
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSHANE MICHAEL POLK
Location Address841 STATE HWYBethel, AK 99559
Mailing AddressP.o. Box 528, Attn: Behavioral HealthBethel, AK 99559 · (907) 543-6100 · Fax (907) 543-6159
Phone(907) 543-6731
Sole ProprietorNo
Enumeration DateDecember 26, 2017
Last NPPES UpdateFebruary 10, 20202 updates tracked since enumeration
✔ NPI 1568978799 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.
841 STATE HWY, Bethel, AK 99559
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Other Identifiers 1

Medicaid1020986AK

Other Providers at the Same Location NPPES

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

BRIANN L JACOB
Day Training/Habilitation Specialist
841 STATE HWY
BETHEL, AK 99559
Bethel (907) 543-6731

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 Shane Polk's NPI number?

The NPI number for Shane Polk is 1568978799. It was assigned to this individual provider in the NPPES registry on December 26, 2017.

Where is Shane Polk located?

Shane Polk practices at 841 State Hwy, Bethel, AK 99559. The listed phone number is (907) 543-6731.

What is Shane 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 Shane Polk was last updated on February 10, 2020. 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.