Active NPI
Claude Lucas King, LCPC, AMFT
- Professional Counselor
- Chicago, IL
National Provider Identifier
1336533314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.011219
- Practice address
- 6235 S Major Ave Apt 1
Chicago, IL 60638 - Phone
- (630) 251-4346
- NPI assigned
- Mar 27, 2015
- Last updated
- May 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | 178.010851 | IL | |
| Professional Counselor | 101YP2500X | 180.011219 | IL | Primary |
| Marriage & Family Therapist | 106H00000X | 208.000379 | IL |
Addresses
Primary practice location
6235 S Major Ave Apt 1
Chicago, IL 60638
Mailing address
6235 S Major Ave Apt 1
Chicago, IL 60638-4522
Phone (630) 251-4346
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.010851 | IL | MD | Professional Counselor |
| 180.011219 | IL | MD | Professional Counselor |
| 208.000379 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CK Psych PLLC | Professional | Current | Accepting new patients |
Locations
10725 S Western Ave
Chicago, IL 60643
Phone (773) 233-6500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1336533314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 S MAJOR AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606384522",
"telephone_number": "630-251-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6235 S MAJOR AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60638",
"telephone_number": "630-251-4346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CLAUDE",
"middle_name": "LUCAS",
"credential": "LCPC, AMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.010851",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.011219",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "208.000379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.