Active NPI
Jennifer M King, LPC
- Professional Counselor
- Round Rock, TX
National Provider Identifier
1689736563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63157
- Practice address
- 425 University Blvd
Round Rock, TX 78665-1053 - Phone
- (512) 509-0200
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC000920 | GA | |
| Professional Counselor | 101YP2500X | LPC5012 | NC | |
| Professional Counselor | 101YP2500X | 63157 | TX | Primary |
Addresses
Primary practice location
425 University Blvd
Round Rock, TX 78665-1053
Mailing address
PO Box 847556
Dallas, TX 75284-7556
Phone (512) 509-0200
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
| License | State | Type | Specialty |
|---|---|---|---|
| APC000920 | GA | MD | Professional Counselor |
| LPC5012 | NC | MD | Professional Counselor |
| 63157 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1689736563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847556",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847556",
"telephone_number": "512-509-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651053",
"telephone_number": "512-509-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC000920",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "LPC5012",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.