Individual provider Active NPI

Janice A. King, LMHC, LMFT

  • Professional Counselor
  • Angola, IN
National Provider Identifier
1720130560
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
35001356A Issued in IN
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39000730AOtherINMENTAL HEALTH COUNSELOR
35001356AOtherINMARRIAGE & 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218002937 IN Practitioner - Marriage and Family Therapist 9133656994 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
39000730AINMDMental Health Counselor
35001356AINMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Janice a King LLC Mental Health CurrentSince Oct 14, 2024 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.

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

Verify at the official NPI Registry.