Active NPI
Charles Michael King, LMFT
- Marriage & Family Therapist
- West Branch, IA
National Provider Identifier
1639727241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111007
- Practice address
- 61 Eisenhower St
West Branch, IA 52358-9403 - Phone
- (385) 230-8942
- NPI assigned
- Aug 27, 2019
- Last updated
- Apr 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 111007 | IA | Primary |
| Marriage & Family Therapist | 106H00000X | 166001554 | IL |
Addresses
Primary practice location
61 Eisenhower St
West Branch, IA 52358-9403
Mailing address
61 Eisenhower St
West Branch, IA 52358-9403
Phone (385) 230-8942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2090 Glen Oaks Dr
Coralville, IA 52241-3225
2461 10TH St
Suite 202
Coralville, IA 52241-1201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111007 | IA | MD | Marriage & Family Therapist |
| 166001554 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| King's Haven, LLC | Mental Health | Past | Accepting new patients |
| Shine Medical Providers PC | Past | Accepting new patients | |
| Flanagan Obrien Mental Wellness PLLC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- charlesking@tdh.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Elevate Mental Wellness
- Mental Health Counselor
- Coralville, IA
- NPI 1568147353
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
IA
-
- Mental Health Counselor
- Orem, UT
- NPI 1396374153
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1639727241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 EISENHOWER ST",
"city": "WEST BRANCH",
"state": "IA",
"postal_code": "523589403",
"telephone_number": "385-230-8942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 EISENHOWER ST",
"city": "WEST BRANCH",
"state": "IA",
"postal_code": "523589403",
"telephone_number": "385-230-8942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "111007",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166001554",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Branch, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.