Individual provider Active NPI

Kadie A King, M.A.

  • Counselor
  • Harrisonburg, VA
National Provider Identifier
1790118396
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701005837 Issued in VA
Practice address
590 E Market St
Harrisonburg, VA 22801-4241
Phone
(540) 987-0879
Fax
(540) 215-7196
NPI assigned
Aug 19, 2013
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701005837 VA Primary
Professional Counselor 101YP2500X 0701005837 VA

Addresses

Primary practice location

590 E Market St
Harrisonburg, VA 22801-4241

Mailing address

590 E Market St
Harrisonburg, VA 22801-4241
Phone (540) 987-0879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004297 VA Practitioner - Mental Health Counselor 0648719393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701005837VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rocktown Counseling LLC Single Specialty CurrentSince Apr 20, 2020 Accepting new patients
Dominion Outpatient Services, LLC Counselor PastSince Dec 1, 2016 Accepting new patients

Locations

590 E Market St
Harrisonburg, VA 22801
Phone (540) 296-4756

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1790118396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E MARKET ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014241",
            "telephone_number": "540-987-0879",
            "fax_number": "540-215-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E MARKET ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014241",
            "telephone_number": "540-987-0879",
            "fax_number": "540-215-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KADIE",
        "middle_name": "A",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701005837",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.