Jennifer King, TLMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

117580 Issued in IA

Practice address

4624 Progress Dr Unit 7
Davenport, IA 52807-3490

Phone

(563) 279-0973

NPI assigned

Mar 6, 2023

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.

• Soothe Your Soul Therapy, PLLC

  • Mental Health Counselor
  • Davenport, IA
  • NPI 1548119852
  NPD Authorized official
• The M.a.D. Therapy, PLLC

  • Mental Health Counselor
  • Bettendorf, IA
  • NPI 1609406941
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1134829591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 HEATHER GLEN CIR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227538",
            "telephone_number": "815-319-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 PROGRESS DR UNIT 7",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073490",
            "telephone_number": "563-279-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "credential": "TLMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "117580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Renee Kimber, DPT
• Kimberly Park Dental Associates
• Whitney Loring Kimbrough, LMSW
• Nancy Kime, D.C.
• King Chiropractic LLC
• Rachel Flint King, AU.D.
• Christopher J Kingma, D.D.S., M.S.
• Tara M Kinney, CRNA
• Lynette Kirk, LISW
• Chelsie Kirschbaum

• Mental Health Counselor in Davenport, IA
• Providers in Davenport, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.