Individual provider Active NPI

Jimmie F. King, PH. D.

  • Mental Health Counselor
  • Norman, OK
National Provider Identifier
1134558380
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1522138 Issued in OK
Practice address
3128 Woodsboro CT
Norman, OK 73072-3309
Phone
(405) 669-3158
NPI assigned
Nov 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1522138 OK Primary
Case Manager/Care Coordinator 171M00000X OK
Surgical Technologist 246ZS0410X 104774 OK

Addresses

Primary practice location

3128 Woodsboro CT
Norman, OK 73072-3309

Mailing address

3128 Woodsboro CT
Norman, OK 73072-3309
Phone (405) 669-3158

Other names 1

  • Mr. Jimmie F. King Professional 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1522138OKMDMental Health Counselor
104774OKMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1134558380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 WOODSBORO CT",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723309",
            "telephone_number": "405-669-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 WOODSBORO CT",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723309",
            "telephone_number": "405-669-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JIMMIE",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-08",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1522138",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "OK",
            "license": "104774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMIE",
            "last_name": "KING",
            "middle_name": "F.",
            "prefix": "MR.",
            "credential": "PH. D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.