Individual provider Active NPI

Nakia Michelle King

  • Counselor
  • Valley Village, CA
National Provider Identifier
1558030825
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701006423 Issued in VA
Practice address
5056 Laurel Canyon Blvd Unit 102
Valley Village, CA 91607-3109
Phone
(703) 909-1533
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701006423 VA Primary

Addresses

Primary practice location

5056 Laurel Canyon Blvd Unit 102
Valley Village, CA 91607-3109

Mailing address

5056 Laurel Canyon Blvd Unit 102
Valley Village, CA 91607-3109
Phone (703) 909-1533

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ValleyVillage Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701006423VAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1558030825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5056 LAUREL CANYON BLVD UNIT 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073109",
            "telephone_number": "703-909-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 LAUREL CANYON BLVD UNIT 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073109",
            "telephone_number": "703-909-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NAKIA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701006423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ValleyVillage",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5056 Laurel Canyon Blvd Unit 102",
            "city": "Valley Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "916073109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.