Active NPI
Kathy Jo King, LGPC;LCPMH
- Professional Counselor
- Lewes, DE
National Provider Identifier
1467764852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0000664
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| LPC0000664 | DE | MD | Professional Counselor |
| LC3900 | MD | MD | Professional 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.