Active NPI
Ingrid Grace King, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1730513060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006939
- Practice address
- 1800 JFK Blvd.
Ste. 1404
Philadelphia, PA 19103 - Phone
- (215) 399-9764
- NPI assigned
- Aug 22, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006939 | PA | Primary |
| Mental Health Counselor | 101YM0800X | PC006939 | PA |
Addresses
Primary practice location
1800 JFK Blvd.
Ste. 1404
Philadelphia, PA 19103
Mailing address
1000 Jefferson St.
Ste. 2C
Lynchburg, VA 24504
Phone (617) 349-0496
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006939 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1730513060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 JEFFERSON ST.",
"address_2": "STE. 2C",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24504",
"telephone_number": "617-349-0496",
"fax_number": "617-807-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 JFK BLVD.",
"address_2": "STE. 1404",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19103",
"telephone_number": "215-399-9764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "INGRID",
"middle_name": "GRACE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006939",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC006939",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.