Individual provider Active NPI

Nan King, LMHC, CADC, LLC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1750521886
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1059 Issued in IA
Practice address
323 E Walnut St
Ste 304
Des Moines, IA 50309-2026
Phone
(515) 778-4440
Fax
(515) 285-3943
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8043 IA
Mental Health Counselor 101YM0800X 1059 IA Primary

Addresses

Primary practice location

323 E Walnut St
Ste 304
Des Moines, IA 50309-2026

Mailing address

323 E Walnut St
Ste 304
Des Moines, IA 50309-2026
Phone (515) 778-4440

Other names 1

  • Nanette King Other name

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

LicenseStateTypeSpecialty
8043IAMDAddiction (Substance Use Disorder) Counselor
1059IAMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1750521886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E WALNUT ST",
            "address_2": "STE 304",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092026",
            "telephone_number": "515-778-4440",
            "fax_number": "515-285-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E WALNUT ST",
            "address_2": "STE 304",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092026",
            "telephone_number": "515-778-4440",
            "fax_number": "515-285-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NAN",
        "credential": "LMHC, CADC, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "8043",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANETTE",
            "last_name": "KING",
            "credential": "LMHC, CADC, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.