Shelia C King, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A13015 Issued in NC

Practice address

709 Northeast Dr Ste 19
Davidson, NC 28036-7432

Phone

(704) 804-3573

Fax

(267) 654-1310

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 19, 2024 through Jan 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1497284574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SOUTH ST",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318164",
            "telephone_number": "704-804-3573",
            "fax_number": "267-654-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DR STE 19",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367432",
            "telephone_number": "704-804-3573",
            "fax_number": "267-654-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHELIA",
        "middle_name": "C",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kelley, MPT
• Crystal Kelly, RN, FNP
• John Kihm
• Kaitlyn Kimrey, M.S., CCC-SLP
• Sabrina Kimrey
• Mary Perkins Kinken, M.DIV., D.MIN.
• Daniel Lee Kirby, M.D.
• Kristin Dessert Kirk, L.C.S.W.
• Erin Klender, NP
• Teresa Lynn Klosek, PSYD

• Professional Counselor in Davidson, NC
• Providers in Davidson, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.