Active NPI
Janice A. King, LMHC, LMFT
- Professional Counselor
- Angola, IN
National Provider Identifier
1720130560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 35001356A
- Practice address
- 525 E 200 N
Angola, IN 46703-7532 - Phone
- (260) 665-8402
- Fax
- (260) 665-8403
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000730A | IN | |
| Professional Counselor | 101YP2500X | 35001356A | IN | Primary |
Addresses
Primary practice location
525 E 200 N
Angola, IN 46703-7532
Mailing address
9638 Carine CV
Fort Wayne, IN 46835-9372
Phone (260) 485-2854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39000730A | Other | IN | MENTAL HEALTH COUNSELOR |
| 35001356A | Other | IN | MARRIAGE & FAMILY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10315 Dawsons Creek Blvd
Suite E
Fort Wayne, IN 46825-1912
Phone (260) 387-6340
10315 Dawsons Creek Blvd E
Fort Wayne, IN 46825-1912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39000730A | IN | MD | Mental Health Counselor |
| 35001356A | IN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janice a King LLC | Mental Health | Current | Accepting new patients |
Locations
10315 Dawsons Creek Blvd
Ste E
Fort Wayne, IN 46825
Phone (260) 387-3640
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Fort Wayne, IN
- NPI 1396518858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720130560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9638 CARINE CV",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468359372",
"telephone_number": "260-485-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 200 N",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467037532",
"telephone_number": "260-665-8402",
"fax_number": "260-665-8403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JANICE",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LMHC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000730A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IN",
"license": "35001356A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR",
"identifier": "39000730A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY",
"identifier": "35001356A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.