Active NPI
Elizabeth A King, LPC
- Counselor
- Petoskey, MI
National Provider Identifier
1730859224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401223826
- Practice address
- 871 Kalamazoo Ave
Petoskey, MI 49770-3216 - Phone
- (231) 348-2130
- Fax
- (231) 348-2302
- NPI assigned
- Sep 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401223826 | MI | Primary |
Addresses
Primary practice location
871 Kalamazoo Ave
Petoskey, MI 49770-3216
Mailing address
PO Box 655
Alpena, MI 49707-0655
Other practice location 1
410 E Lake St Ste 100
Petoskey, MI 49770-2437
Phone (231) 753-8055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahc-Ottawa Elementary School | Past | Accepting new patients | |
| North Country Community Mental Health | Past | Accepting new patients |
Interoperability endpoints
- elizabeth.king.p1@direct.alcona.nextgenshare.com
Organizations & group practices 2
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.
-
- School Social Worker
- Petoskey, MI
- NPI 1164970307
-
- Community/Behavioral Health Agency
- Petoskey, MI
- NPI 1881060549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1730859224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "ALPENA",
"state": "MI",
"postal_code": "497070655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 KALAMAZOO AVE",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497703216",
"telephone_number": "231-348-2130",
"fax_number": "231-348-2302"
}
],
"practiceLocations": [
{
"address_1": "410 E Lake St Ste 100",
"address_purpose": "LOCATION",
"city": "Petoskey",
"state": "MI",
"postal_code": "497702437",
"country_code": "US",
"telephone_number": "231-753-8055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401223826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.