Active NPI
Jeffrey W King, INTERN
- Mental Health Counselor
- Lawrence, MA
National Provider Identifier
1376794461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 30 General St
Lawrence, MA 01840-1809 - Phone
- (978) 683-3128
- Fax
- (978) 682-7296
- NPI assigned
- Oct 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
30 General St
Lawrence, MA 01840-1809
Mailing address
30 General St
Lawrence, MA 01840-1809
Phone (978) 683-3128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 14, 2025 through Oct 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1376794461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 GENERAL ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401809",
"telephone_number": "978-683-3128",
"fax_number": "978-682-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 GENERAL ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401809",
"telephone_number": "978-683-3128",
"fax_number": "978-682-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JEFFREY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "INTERN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.