Active NPI
Elizabeth Ann King, LMHC
- Mental Health Counselor
- Fitchburg, MA
National Provider Identifier
1093964389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 111 Columbia Ave
Fitchburg, MA 01420-7042 - Phone
- (978) 400-2368
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
111 Columbia Ave
Fitchburg, MA 01420-7042
Mailing address
PO Box 870078
Milton Village, MA 02187-0078
Other practice location 1
190 Lenox St
Norwood, MA 02062-3416
Phone (781) 769-8674
Other names 1
- Mrs. Elizabeth Ann King-Cantor
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consilia Behavioral Health, PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1609704329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1093964389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 870078",
"city": "MILTON VILLAGE",
"state": "MA",
"postal_code": "021870078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLUMBIA AVE",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014207042",
"telephone_number": "978-400-2368"
}
],
"practiceLocations": [
{
"address_1": "190 Lenox St",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "MA",
"postal_code": "020623416",
"country_code": "US",
"telephone_number": "781-769-8674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2021-08-31",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "KING-CANTOR",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "MS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.