Individual provider Active NPI

Kevin King, LCMHC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1205284148
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12660 Issued in NC
Practice address
1927 S Tryon St Ste 106
Charlotte, NC 28203-4688
Phone
(704) 266-2351
Fax
(704) 360-8076
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12660 NC Primary

Addresses

Primary practice location

1927 S Tryon St Ste 106
Charlotte, NC 28203-4688

Mailing address

1927 S Tryon St Ste 106
Charlotte, NC 28203-4688
Phone (704) 266-2351

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
12660NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
King Counseling PLLC Professional CurrentSince Aug 17, 2025 Accepting new patients

Locations

1927 S Tryon St
Ste 106
Charlotte, NC 28203
Phone (704) 266-2351

Organizations & group practices 1

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1205284148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 S TRYON ST STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034688",
            "telephone_number": "704-266-2351",
            "fax_number": "704-360-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 S TRYON ST STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034688",
            "telephone_number": "704-266-2351",
            "fax_number": "704-360-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KEVIN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.