Annie King, LPAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

CAT0145921 Issued in NM

Practice address

501 Franklin Ave Unit 6
Santa Fe, NM 87501-3617

Phone

(505) 385-2043

Fax

(505) 395-2915

NPI assigned

Jan 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bluebird in Your Heart Counseling LLC

  • Counselor
  • Santa Fe, NM
  • NPI 1669241543
  NPD
• La Luz Provider Agency LLC

  • Specialist
  • Santa Fe, NM
  • NPI 1245692102

  Art Therapist

  NPD

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1124889894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34091",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875944091",
            "telephone_number": "505-385-2043",
            "fax_number": "505-395-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FRANKLIN AVE UNIT 6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875013617",
            "telephone_number": "505-385-2043",
            "fax_number": "505-395-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANNIE",
        "credential": "LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NM",
            "license": "CAT0145921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghijung Kylie Kim, NP-C
• Teayoung Kim, MD
• Kindred Minds Counseling, LLC
• Kinfolk Home Care LLC
• Elizabeth Ellen King-Miller, LPCC
• Glenda L. King, DPM
• Justin C King
• Sharon M King, M.A.
• Stacey King, CFNP
• Susan King, LPCC

• Art Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Art Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.