Susan Lesley King, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006694 Issued in MI

Practice address

1601 Galbraith Ave SE
Grand Rapids, MI 49546-6479

Phone

(616) 953-0544

NPI assigned

Oct 21, 2019

Sex

Female

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

Opted out of Medicare

Yes, effective Dec 21, 2024 through Dec 21, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Susan L. King

  dba Lamplight Counseling, PLLC

  • Marriage & Family Therapist
  • Grand Rapids, MI
  • NPI 1104422070
  NPD Authorized official

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1508409715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SEMINOLE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495066536",
            "telephone_number": "949-584-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GALBRAITH AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466479",
            "telephone_number": "616-953-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SUSAN",
        "middle_name": "LESLEY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001905A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geonna J King
• Jennifer King
• Laura Elizabeth King, BS
• Noah King
• Ruby King
• Wendy Kay King
• Kingma Pediatric Dentistry PLLC
• Aubrey Kingma, BSN, RN
• Brett Kingma, D.D.S.
• Nancy S Kingma, MALLP

• Marriage & Family Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.