Kristen Marie King, CSAC-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0711000764 Issued in VA

Practice address

5322 Ladysmith Rd
Ruther Glen, VA 22546-1325

Phone

(888) 887-6867

NPI assigned

Jun 19, 2025

Sex

Female

Sole proprietor

No

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.

• Grace Health Services LLC

  • Nurse Practitioner
  • Stafford, VA
  • NPI 1528614674
  NPD

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1255228607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DORIA HILL DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225549456",
            "telephone_number": "703-986-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 LADYSMITH RD",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225461325",
            "telephone_number": "888-887-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "CSAC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0711000764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany N Johnson
• Joseph Mental Health LLC
• Shelley Shanay Juggins, CNA AND RMA AND BSHA
• Andrea Helene Justice, LMT, CMT
• Kindred Spirits Home Health Care LLC
• Octavia L King
• Ladysmith Dental Center
• Ladysmith Urgent Care Center
• Life Way Services
• Louis J. Korpics Jr., DDS, PC

• Addiction (Substance Use Disorder) Counselor in Ruther Glen, VA
• Providers in Ruther Glen, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.