Individual provider Active NPI

Glenn Richard King Jr., MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1760614937
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60269994 Issued in WA
Practice address
3301 Burke Ave N
Ste 220
Seattle, WA 98103-9054
Phone
(206) 486-0984
Fax
(206) 681-9647
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH60269994 WA
Mental Health Counselor 101YM0800X LH60269994 WA Primary

Addresses

Primary practice location

3301 Burke Ave N
Ste 220
Seattle, WA 98103-9054

Mailing address

3301 Burke Ave N
Ste 220
Seattle, WA 98103-9054
Phone (206) 486-0984

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60269994WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1760614937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BURKE AVE N",
            "address_2": "STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039054",
            "telephone_number": "206-486-0984",
            "fax_number": "206-681-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BURKE AVE N",
            "address_2": "STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039054",
            "telephone_number": "206-486-0984",
            "fax_number": "206-681-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GLENN",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60269994",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60269994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.