KELLY POLZ
NPI 1609375831
Counselor - Professional in Rockford, IL

Active since February 02, 2018
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 332-6049(815) 332-6090 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About KELLY POLZ

This page provides the complete NPI Profile along with additional information for Kelly Polz, a provider established in Rockford, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1609375831 assigned on February 2018. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1609375831 Verify this NPI
Provider Name
KELLY POLZ
Gender
Female
Entity Type
Individual
Location Address
8616 NORTHERN AVE ROCKFORD, IL 61107
Location Phone
(815) 332-6049
Location Fax
(815) 332-6090
Mailing Address
1021 N MULFORD RD ROCKFORD, IL 61107
Mailing Phone
(815) 387-5600
Mailing Fax
(815) 316-4726
Is Sole Proprietor?
No
Enumeration Date
02-02-2018
Last Update Date
02-02-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
8616 NORTHERN AVE
ROCKFORD, IL 61107
Social Worker (Clinical)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Registered Nurse
8616 NORTHERN AVE
ROCKFORD, IL 61107
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Marriage & Family Therapist
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Marriage & Family Therapist
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Clinic/Center (Rehabilitation, Substance Use Disorder)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Clinic/Center (Mental Health (Including Community Mental Health Center))
8616 NORTHERN AVE
ROCKFORD, IL 61107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609375831, enumerated as an "individual" on February 02, 2018.

The provider is located at 8616 NORTHERN AVE ROCKFORD, IL 61107 and the phone number is (815) 332-6049.

Counselor with taxonomy code 101YP2500X and a focus in Professional.