Individual provider Active NPI

Molly Elizabeth Fitzgerald King, LPCC

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1316563372
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
269904 Issued in KY
Practice address
350 Evergreen Rd
Louisville, KY 40243-1010
Phone
(502) 252-1285
NPI assigned
Jun 24, 2020
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 173595 KY
Mental Health Counselor 101YM0800X 269904 KY Primary
Art Therapist 221700000X 173562 KY

Addresses

Primary practice location

350 Evergreen Rd
Louisville, KY 40243-1010

Mailing address

350 Evergreen Rd
Louisville, KY 40243-1010
Phone (502) 252-1285

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
173595KYMDMental Health Counselor
269904KYMDMental Health Counselor
173562KYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1316563372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EVERGREEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431010",
            "telephone_number": "502-252-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EVERGREEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431010",
            "telephone_number": "502-252-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD KING",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "173595",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "269904",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "173562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.