Individual provider Active NPI

Theresa Louise King, LCPC, RPT

  • Counselor
  • Bethesda, MD
National Provider Identifier
1477713253
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC1294 Issued in MD
Practice address
6112 Broad St
Bethesda, MD 20816-2614
Phone
(301) 263-9155
NPI assigned
Jun 14, 2008
Last updated
Jun 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC1294 MD Primary

Addresses

Primary practice location

6112 Broad St
Bethesda, MD 20816-2614

Mailing address

8720 Georgia Ave Ste 808
Silver Spring, MD 20910-3602
Phone (301) 263-9155

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
LC1294MDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213401600000",
    "number": "1477713253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE STE 808",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103602",
            "telephone_number": "301-263-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 BROAD ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162614",
            "telephone_number": "301-263-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "THERESA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; 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.