Alfonza A. King, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009399 Issued in GA

Practice address

3846 Trask Dr
Columbus, GA 31903-2937

Phone

(706) 566-3166

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eclectics

  • Community/Behavioral Health Agency
  • Columbus, GA
  • NPI 1225576796
  NPD (past) Authorized official

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1386155430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 TRASK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032937",
            "telephone_number": "706-566-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 TRASK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032937",
            "telephone_number": "706-566-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ALFONZA",
        "middle_name": "A.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind Care Services, LLC
• Christina Kindred
• Kinex Medical Company, LLC
• Abbie King
• Adrian Monique King, PP
• Angela L. King, PA-C
• Anondi King
• Ashley King, RBT
• Betty Ruth King, M.S.
• Brenda H. King

• Mental Health Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.