Larry King Jr.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

001011485-001009200 Issued in TX

Practice address

13831 Northwest Fwy Ste 240
Houston, TX 77040-5258

Phone

(281) 673-0094

Fax

(281) 710-7097

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Larry King Jr

  • Mental Illness Community Based Residential Treatment Facility
  • Houston, TX
  • NPI 1215714290
  NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1497813059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13831 NORTHWEST FWY STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405258",
            "telephone_number": "281-673-0094",
            "fax_number": "281-970-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13831 NORTHWEST FWY STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405258",
            "telephone_number": "281-673-0094",
            "fax_number": "281-710-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": "001011485-001009200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Tyrone King II, D.D.S.
• Kiana Banon King, DMD
• Kimberly J King, M.S., CCC-SLP
• Krystle Dawne King, MS, LPC-ASSOCIATE
• Laekin Symone King, M.S. CCC-SLP
• Laura C King, PMHNP-BC
• Leslie Wade King, LPC
• Loretta King, NURSE PRACTITIONER
• Marc Robert King, PH.D.
• Mary-Margaret Adelle King, OTR

• Intellectual & Developmental Disabilities Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual & Developmental Disabilities Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.