Charles H. King, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000276 Issued in VT

Practice address

10 Merchants Row
Middlebury, VT 05753-1421

Phone

(802) 388-4174

Fax

(802) 388-7813

NPI assigned

Apr 15, 2008

Sex

Male

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

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1134393655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057530172",
            "telephone_number": "802-388-4174",
            "fax_number": "802-388-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MERCHANTS ROW",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531421",
            "telephone_number": "802-388-4174",
            "fax_number": "802-388-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHARLES",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Perkins Kelley, PT, MED.
• Winfield Kelley, DC
• Leila Kiernan, DPT
• Michael J Kiernan, MD
• Tawnya Kiernan, M.D.
• Elizabeth King
• Eric Christiansen King, MD
• Dayle Klitzner, MD
• Jonathan Marcial Klock
• Fred W Kniffin, MD

• Addiction (Substance Use Disorder) Counselor in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.