Active NPI
Debora King, MA, LPC, ATR-BC
- Counselor
- Philadelphia, PA
National Provider Identifier
1801470075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC012584
- Practice address
- 255 S 17TH St Ste 1301
Philadelphia, PA 19103-6213 - Phone
- (215) 821-9621
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012584 | PA | |
| Counselor | 101Y00000X | PC012584 | PA | Primary |
Addresses
Primary practice location
255 S 17TH St Ste 1301
Philadelphia, PA 19103-6213
Mailing address
1206 Titan St
Philadelphia, PA 19147-4508
Phone (267) 838-7255
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30789632 | Other | PA | OTHER |
| 30789632 | Other | PA | MEDICARE |
| 30789632 | Medicaid | PA |
Other names 1
- Debora King
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC012584 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1801470075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 TITAN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474508",
"telephone_number": "267-838-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S 17TH ST STE 1301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036213",
"telephone_number": "215-821-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DEBORA",
"credential": "MA, LPC, ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012584",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC012584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "30789632",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "30789632",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30789632",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORA",
"last_name": "KING",
"credential": "MA, LPC, ATR-BC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.