Creasha King, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

242059 Issued in KY

Practice address

1079 Thornberry Dr Ste B
Madisonville, KY 42431

Phone

(270) 825-1698

NPI assigned

Apr 26, 2012

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omni Community Health, Inc.

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1881024172

  Mental Health

  NPD (past)
• The Solution Source LLC

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1114100955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1013275023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 THORNBERRY DR STE B",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311600",
            "telephone_number": "270-825-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 THORNBERRY DR STE B",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "42431",
            "telephone_number": "270-825-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Perimeter Park Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114128",
            "country_code": "US",
            "telephone_number": "615-726-3603",
            "fax_number": "615-445-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1169 Eastern Pkwy Ste 1226",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171462",
            "country_code": "US",
            "telephone_number": "502-438-9395",
            "fax_number": "502-333-9712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4038 Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379125903",
            "country_code": "US",
            "telephone_number": "865-525-0391",
            "fax_number": "865-525-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CREASHA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "242059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Orthopedic Rehabilitation, LLC (KORT - Madisonville)
• Amber Keown, APRN
• Tehmina Khan, MD
• Christopher James Kiefer, M.D.
• Kimberly K Hill DMD PSC
• Richard G King, MD
• Timothy Joe King, DMD
• James McMinnus Kington, DC
• Carrie Kirkwood, CCC-SLP
• Elizabeth Southard Kirkwood, MS,CCC-SLP

• Professional Counselor in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.