Susan King, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMN0200241 Issued in NM

Practice address

411 Saint Michaels Dr Ste 2
Santa Fe, NM 87505-7655

Phone

(505) 057-7721

NPI assigned

Jul 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Angelfish Counseling LLC

  • Professional Counselor
  • Santa Fe, NM
  • NPI 1437784634
  NPD Authorized official

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1780069013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 SIPAPU LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074012",
            "telephone_number": "505-660-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SAINT MICHAELS DR STE 2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057655",
            "telephone_number": "505-057-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SUSAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMN0200241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie King, LPAT
• Glenda L. King, DPM
• Justin C King
• Sharon M King, M.A.
• Stacey King, CFNP
• Hilary Kingman, LMT
• Caroline Kingston, MD
• William Kinlaw, M.D.
• Kimberly Kinney, LMHC
• Kinship Institute Trust Company

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.