Individual provider Active NPI

Angie Denise King, MED, LPCC

  • Mental Health Counselor
  • Corbin, KY
National Provider Identifier
1063644508
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
243797 Issued in KY
Practice address
1203 American Greeting Card Rd
Corbin, KY 40701-4811
Phone
(606) 528-7010
NPI assigned
Aug 18, 2009
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 243797 KY Primary

Addresses

Primary practice location

1203 American Greeting Card Rd
Corbin, KY 40701-4811

Mailing address

600 Monticello St Ste 2
Somerset, KY 42501-2974
Phone (606) 401-2966

Other names 1

  • Angie Denise Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003062 KY Practitioner - Mental Health Counselor 7618329590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Grace Community Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Mindsight PLLC PastSince Jan 9, 2024 Accepting new patients
Innovative Solutions R & D LLC PastSince Jun 1, 2019 Accepting new patients

Locations

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

1019 Cumberland Falls Hwy
Ste D141
Corbin, KY 40701
Phone (606) 528-5527

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

21154 Highway 421
Ste 1
Hyden, KY 41749

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

934 S Laurel Rd
Ste 1
London, KY 40744
Phone (606) 526-8604

85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

Organizations & group practices 5

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1063644508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MONTICELLO ST STE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012974",
            "telephone_number": "606-401-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AMERICAN GREETING CARD RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014811",
            "telephone_number": "606-528-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANGIE",
        "middle_name": "DENISE",
        "credential": "MED, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "243797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "JONES",
            "middle_name": "DENISE",
            "credential": "MASTERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.