Andrea J King, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.015844

Practice address

2930 S Michigan Ave Ste 100
Chicago, IL 60616-3484

Phone

(773) 819-5504

NPI assigned

Nov 28, 2020

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1336743517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 S MICHIGAN AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163484",
            "telephone_number": "773-816-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 S MICHIGAN AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163484",
            "telephone_number": "773-819-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5113 S Harper Ave Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154119",
            "country_code": "US",
            "telephone_number": "773-304-3699",
            "fax_number": "773-304-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "ANDREA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "178.015844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex King, LCPC
• Alexa Moriah King, MD
• Alexa Nicole King, LSW
• Alexandra Candice Soo-CHI King
• Andrea King, PH.D.
• Anna J King I
• Anthony L King, DDS
• Brianna King
• Brittany King, MSW, LSW
• Claude Lucas King, LCPC, AMFT

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.