Kingdom Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KINGDOM COUNSELING SERVICES, LLC

Practice address

121 Farley Branch Drive
Lynchburg, VA 24502-2363

Phone

(434) 515-0503

Fax

(434) 237-0332

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Swain Tucker, LCSW

Title

Owner/Sole Practitioner

Phone

(434) 515-0503

Specialties & licenses 2

Addresses

Other names 1

• Stephanie S. Tucker, LCSW Doing business as

Locations

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1811322928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FARLEY BRANCH DRIVE",
            "address_2": "P.O. BOX 4614",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245020614",
            "telephone_number": "434-515-0503",
            "fax_number": "434-237-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FARLEY BRANCH DRIVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022363",
            "telephone_number": "434-515-0503",
            "fax_number": "434-237-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "SWAIN",
        "authorized_official_title_or_position": "OWNER/SOLE PRACTITIONER",
        "authorized_official_telephone_number": "434-515-0503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904007352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie S. Tucker, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avery King
• Catherine King, LCSW
• Dustin Richard King, NP
• Howard R King Jr., PH. D
• Katherine Tippins King, OTR/L
• Melissa Phipps Kirby
• Amanda Kirk
• Kathryn Kirkpatrick, PSY.D.
• Jennifer Kirsch
• Patricia Louise Kirtley, LPC, LMFT

• Clinical Social Worker in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.