Individual provider Active NPI

Kathy Marshall King, LPAT, ATR-BC, LCADC

  • Professional Counselor
  • Beach Haven, NJ
National Provider Identifier
1205105798
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37LC00385200 Issued in NJ
Practice address
326 3Rd St FL 2
Beach Haven, NJ 08008-1806
Phone
(808) 450-1841
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CTB-2023-0766 NM
Addiction (Substance Use Disorder) Counselor 101YA0400X RALR0770315 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X 16LP00023100 NJ
Art Therapist 221700000X 37LC00385200 NJ
Professional Counselor 101YP2500X 37LC00385200 NJ Primary

Addresses

Primary practice location

326 3Rd St FL 2
Beach Haven, NJ 08008-1806

Mailing address

326 3Rd St FL 2
Beach Haven, NJ 08008-1806
Phone (808) 450-1841

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

State licenses

LicenseStateTypeSpecialty
RALR0770315CAMDAddiction (Substance Use Disorder) Counselor
16LP00023100NJMDAddiction (Substance Use Disorder) Counselor
CTB-2023-0766NMMDAddiction (Substance Use Disorder) Counselor
37LC00385200NJMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1205105798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 3RD ST FL 2",
            "city": "BEACH HAVEN",
            "state": "NJ",
            "postal_code": "080081806",
            "telephone_number": "808-450-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 3RD ST FL 2",
            "city": "BEACH HAVEN",
            "state": "NJ",
            "postal_code": "080081806",
            "telephone_number": "808-450-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KATHY",
        "middle_name": "MARSHALL",
        "name_prefix": "Ms.",
        "credential": "LPAT, ATR-BC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2023-0766",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RALR0770315",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "16LP00023100",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "37LC00385200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37LC00385200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beach Haven, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.