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: August 23, 2026.

About Kelly Polz NPPES

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

KELLY POLZ (NPI 1609375831) is an individual professional provider in Rockford, Illinois and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1609375831
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY POLZ
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 387-5600 · Fax (815) 316-4726
Fax(815) 332-6090
Sole ProprietorNo
Enumeration DateFebruary 2, 2018
NPI 1609375831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
8616 NORTHERN AVE, Rockford, IL 61107

Other Providers at the Same Location NPPES 20

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

Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Nurse Practitioner (Psychiatric/Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107

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 Kelly Polz's NPI number?

The NPI number for Kelly Polz is 1609375831. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Where is Kelly Polz located?

Kelly Polz practices at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 332-6049.

What is Kelly Polz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelly Polz was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.