Individual provider Active NPI

Charles Michael King, LMFT

  • Marriage & Family Therapist
  • West Branch, IA
National Provider Identifier
1639727241
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111007 Issued in IA
Practice address
61 Eisenhower St
West Branch, IA 52358-9403
Phone
(385) 230-8942
NPI assigned
Aug 27, 2019
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331000575 IA Practitioner - Marriage and Family Therapist 6709361447 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
111007IAMDMarriage & Family Therapist
166001554ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
King's Haven, LLC Mental Health PastSince Apr 5, 2020 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Flanagan Obrien Mental Wellness PLLC Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.