Individual provider Active NPI

Kathy Jo King, LGPC;LCPMH

  • Professional Counselor
  • Lewes, DE
National Provider Identifier
1467764852
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000664 Issued in DE
Practice address
17527 Nassau Commons Blvd
Suite 202
Lewes, DE 19958-6283
Phone
(302) 663-0274
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0000664 DE Primary
Professional Counselor 101YP2500X LC3900 MD

Addresses

Primary practice location

17527 Nassau Commons Blvd
Suite 202
Lewes, DE 19958-6283

Mailing address

20791 Brunswick LN
Millsboro, DE 19966-7552
Phone (302) 663-0274

Other names 1

  • Ms. Kathy Jo Stadler Former name

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

LicenseStateTypeSpecialty
LPC0000664DEMDProfessional Counselor
LC3900MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1467764852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20791 BRUNSWICK LN",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199667552",
            "telephone_number": "302-663-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17527 NASSAU COMMONS BLVD",
            "address_2": "SUITE 202",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586283",
            "telephone_number": "302-663-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KATHY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LGPC;LCPMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "LPC0000664",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "STADLER",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "LCPC;LPCMH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.