Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley J Polk, LIMHP, LADC

Individual provider Mental Health Counselor · NPI 1104092014

Kelley J Polk, LIMHP, LADC is a Mental Health Counselor in Sioux City, Iowa. Qualified in 1998, 28 years ago. Practices as a sole proprietor. Licensed in Iowa and Nebraska.

Years since qualifying
28
Licensed in
IA, NE
In the registry since
2008
Specialties on file
3
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

507 7th St Ste 213
Sioux City, IA 51101-1125
Phone: (712) 870-1445
Fax: (712) 248-8866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 001074 (IA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 965 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1139 (NE)

Record details

NPI number1104092014
Entity typeIndividual (Type 1)
GenderFemale
Credentials LIMHP , LADC
Sole proprietorYes
NPI enumeratedMay 1, 2008
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Sioux City