Individual provider Active NPI

Madison King

  • Mental Health Counselor
  • Lafayette, CO
National Provider Identifier
1083321327
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0019393 Issued in CO
Practice address
1455 Dixon Ave
Lafayette, CO 80026-8879
Phone
(303) 443-8500
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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 LPCC.0019393 CO Primary

Addresses

Primary practice location

1455 Dixon Ave
Lafayette, CO 80026-8879

Mailing address

4015 Wonderland Hill Ave
Boulder, CO 80304-1060
Phone (617) 721-1795

Other practice location 1

1650 38th St Ste 100E
Boulder, CO 80301-2624
Phone (617) 721-1795

Other names 1

  • Ms. Maddy King Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0019393COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1083321327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 WONDERLAND HILL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041060",
            "telephone_number": "617-721-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 DIXON AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268879",
            "telephone_number": "303-443-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 38th St Ste 100E",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012624",
            "country_code": "US",
            "telephone_number": "617-721-1795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "MADISON",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0019393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADDY",
            "last_name": "KING",
            "prefix": "MS.",
            "credential": "MA, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.