Mitchel J. King, MS, LMCHA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

235 S Church St
Winston Salem, NC 27101-5305

Phone

(336) 794-6877

NPI assigned

Jul 21, 2021

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Camel City Counseling PLLC

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1245896679
  NPD

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1508439159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7582 HAPPY HILL RD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849053",
            "telephone_number": "336-904-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S CHURCH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015305",
            "telephone_number": "336-794-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MITCHEL",
        "middle_name": "J.",
        "credential": "MS, LMCHA, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew W King, D.O.
• Austin Wallace King, MD
• Imani Khali'Ah King
• Kelly Holt King, CRNA
• Ladonna Shantee King, OTR/L
• Ruby King
• Tramaine King
• Gilson John Kingman, MD
• Morgan J Kingrey, PA
• Kingsberry Counseling Services, PLLC

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.