Kingdom Counseling Services LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801089519 Issued in MI

Legal business name

KINGDOM COUNSELING SERVICES LLC

Practice address

1806 Lindy Dr
Lansing, MI 48917-9734

Phone

(517) 940-0905

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Angela Pena, LMSWNPI 1053507616

Title

Owner

Phone

(517) 940-0905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Eva Pena, LMSW, CBIS

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1053507616
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1497240097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 LINDY DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489179734",
            "telephone_number": "517-940-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 LINDY DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489179734",
            "telephone_number": "517-940-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-940-0905",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista King
• Mary Louise King, CCC-SLP
• Reshia K King, LMSW, CAADC
• Sandra King, RSW
• Terrence King II
• Kingdom Minds
• Mary Beth Kinney, CRNA
• Nancy Kinoti
• Kintsugi Wellness Counseling Inc
• Alaina Mar'Ee Kioski-Stanley

• Social Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.