Individual provider Active NPI

Zaire Elissa King, MA, LMFT

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1376009209
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01562 Issued in NC
Practice address
1923 J N Pease PL Ste 101
Charlotte, NC 28262-4534
Phone
(704) 593-6773
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 01562 NC Primary

Addresses

Primary practice location

1923 J N Pease PL Ste 101
Charlotte, NC 28262-4534

Mailing address

1923 J N Pease PL Ste 101
Charlotte, NC 28262-4534
Phone (704) 593-6773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507003182 NC Practitioner - Marriage and Family Therapist 4082130836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1923 J N Pease PL
Suite 101
Charlotte, NC 28262-4534
Phone (704) 593-6773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01562NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Roots Psychotherapy Services PLLC Marriage & Family Therapist CurrentSince Mar 23, 2025 Accepting new patients
Enduring Care Counseling Services PLLC Mental Health PastSince May 1, 2022 Accepting new patients

Locations

1923 J N Pease Pl
Ste 101
Charlotte, NC 28262
Phone (704) 593-6773

4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1376009209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 J N PEASE PL STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624534",
            "telephone_number": "704-593-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 J N PEASE PL STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624534",
            "telephone_number": "704-593-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ZAIRE",
        "middle_name": "ELISSA",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "01562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.