Organization Active NPI

Kings Counseling Services

  • Adult Mental Health Clinic/Center
  • Visalia, CA
National Provider Identifier
1528489390
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KINGS COUNSELING SERVICES
Practice address
1043 N Demaree St
Visalia, CA 93291-4119
Phone
(559) 713-6001
NPI assigned
Dec 22, 2013
Last updated
Mar 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Dr. Amy L Tillery, PH.D.
Title
Partner
Phone
(559) 303-2939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1043 N Demaree St
Visalia, CA 93291-4119

Mailing address

1043 N Demaree St
Visalia, CA 93291-4119
Phone (559) 713-6001

National Provider Directory

National Provider Directory

Locations

1043 N Demaree St
Visalia, CA 93291
Phone (559) 300-4132

NPI Registry JSON

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

{
    "created_epoch": "1387670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1528489390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-713-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-713-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-22",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "TILLERY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "559-303-2939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.