Individual provider Active NPI

Michael King, LCSW

  • Mental Health Counselor
  • Benton, AR
National Provider Identifier
1164557682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
146-C Issued in CA
Practice address
307 E Sevier St
Benton, AR 72015-3934
Phone
(501) 315-4224
Fax
(501) 776-0411
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 146-C CA Primary

Addresses

Primary practice location

307 E Sevier St
Benton, AR 72015-3934

Mailing address

307 E Sevier St
Benton, AR 72015-3934
Phone (501) 315-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529000057 AR Practitioner - Clinical Social Worker 4284857830 Reassigns benefits to 1 organization
Practice locations: Hot Springs National Park, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspiration Day Treatment, Inc.Group PAC ID 5698801272, 8 clinicians

Practice addresses (Care Compare)

11700 Kanis Rd
Suite 2
Little Rock, AR 72211-3794
Phone (501) 221-1941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146-CCAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiration Day Treatment, Inc. CurrentSince Aug 15, 2018 Accepting new patients
Counseling Clinic, Inc. Past Accepting new patients
Valerie Swearingen Counseling, Inc. Past Accepting new patients

Locations

11700 Kanis Rd
Ste 2
Little Rock, AR 72211
Phone (501) 221-1941

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164557682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E SEVIER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153934",
            "telephone_number": "501-315-4224",
            "fax_number": "501-776-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E SEVIER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153934",
            "telephone_number": "501-315-4224",
            "fax_number": "501-776-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "146-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.