Alicia D King

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

150731 Issued in OH

Practice address

6811 Mayfield Rd Apt 686
Mayfield HTS, OH 44124-2222

Phone

(520) 431-6457

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1356844823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 MAYFIELD RD APT 686",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242222",
            "telephone_number": "520-431-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 MAYFIELD RD APT 686",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242222",
            "telephone_number": "520-431-6457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E 55th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441031304",
            "country_code": "US",
            "telephone_number": "216-391-6672 x121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "ALICIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "150731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34-1836284",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Marie Kellums, RN
• Kathleen T Kennedy, CNS
• David Kern, CDCA
• Prakash K Khandekar MD, M.D.
• Calvin Kiehl, HIS
• Christine Kirchstein
• Brian R. Kirkland, D.O.
• Tamara Kitko
• Joey Matthew Korah, M.D.
• Jacqueline Kovach

• Addiction (Substance Use Disorder) Counselor in Mayfield HTS, OH
• Providers in Mayfield HTS, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.