Active NPI
Edward Merrill King, LMFT
- Marriage & Family Therapist
- Salem, OR
National Provider Identifier
1376798041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0687
- Practice address
- 1245 Edgewater St NW
Salem, OR 97304-4049 - Phone
- (503) 588-5816
- Fax
- (503) 588-5803
- NPI assigned
- Nov 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC32869 | CA | |
| Marriage & Family Therapist | 106H00000X | T0687 | OR | Primary |
Addresses
Primary practice location
1245 Edgewater St NW
Salem, OR 97304-4049
Mailing address
1245 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 588-5816
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 |
|---|---|---|---|
| MFC32869 | CA | MD | Marriage & Family Therapist |
| T0687 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1376798041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 EDGEWATER ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044049",
"telephone_number": "503-588-5816",
"fax_number": "503-588-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 EDGEWATER ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044049",
"telephone_number": "503-588-5816",
"fax_number": "503-588-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "EDWARD",
"middle_name": "MERRILL",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-22",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC32869",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.