Active NPI
Maribeth - King, MS
- Counseling Psychologist
- Liberty, MO
National Provider Identifier
1770654881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 01479
- Practice address
- 134 Westwoods Dr
Seaport
Liberty, MO 64068-1181 - Phone
- (816) 792-3363
- Fax
- (816) 228-4943
- NPI assigned
- Nov 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 01479 | MO | Primary |
Addresses
Primary practice location
134 Westwoods Dr
Seaport
Liberty, MO 64068-1181
Mailing address
134 Westwoods Dr
Seaport
Liberty, MO 64068-1181
Phone (816) 792-3363
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01479 | MO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770654881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 WESTWOODS DR",
"address_2": "SEAPORT",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681181",
"telephone_number": "816-792-3363",
"fax_number": "816-228-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 WESTWOODS DR",
"address_2": "SEAPORT",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681181",
"telephone_number": "816-792-3363",
"fax_number": "816-228-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MARIBETH",
"middle_name": "-",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "01479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.