Individual provider Active NPI

Kevin J King

  • Clinical Social Worker
  • Saint Albans, VT
National Provider Identifier
1013771260
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890136275 Issued in VT
Practice address
14 Stebbins St
Saint Albans, VT 05478-2462
Phone
(802) 922-5919
NPI assigned
Feb 8, 2024
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0890136275 VT Primary
Community Health Worker 172V00000X NU

Addresses

Primary practice location

14 Stebbins St
Saint Albans, VT 05478-2462

Mailing address

18 Messenger St
Saint Albans, VT 05478-1546
Phone (802) 922-5919

Other practice location 1

27 Rye Cir
South Burlington, VT 05403-7632
Phone (802) 922-5919 ext. 25919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 Messenger St
Saint Albans, VT 05478-1546
Phone (802) 922-5919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0890136275VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Counseling & Support Services Inc CurrentSince Dec 6, 2024 Accepting new patients
Mindful Health Consulting and Therapy LLC Clinical CurrentSince Jun 11, 2025 Accepting new patients

Locations

107 Fisher Pond Rd
Saint Albans, VT 05478
Phone (802) 393-6412

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1013771260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MESSENGER ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781546",
            "telephone_number": "802-922-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 STEBBINS ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782462",
            "telephone_number": "802-922-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Rye Cir",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054037632",
            "country_code": "US",
            "telephone_number": "802-922-5919 x25919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KEVIN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890136275",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.