Lisa King

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

22544-A Issued in NC

Practice address

1804 Cynthia PL
Raleigh, NC 27610-3534

Phone

(919) 669-0004

NPI assigned

Mar 28, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rehoboth Consulting AgencyGroup PAC ID 6901059690, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rehoboth Consulting Agency

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1184816555
  Medicare reassignment Care Compare group NPD (past) Authorized official
• IV Seasons Consulting

  • Addiction (Substance Use Disorder) Counselor
  • Zebulon, NC
  • NPI 1104487107
  NPD (past) Authorized official
• Rehoboth Consulting Agency and Community Services

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1225212897
  NPD (past) Authorized official
• Multi-Cultural Counseling & Wellness Clinic, PLLC

  • Community/Behavioral Health Agency
  • Garner, NC
  • NPI 1962126458
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1851753941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 CYNTHIA PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 CYNTHIA PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103534",
            "telephone_number": "919-669-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22544-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Martin King, P.T.
• John Bradford King, O.P.F.
• Joleen King, LPC
• Kara Burke King, MSW, LCSW
• Kelly Michel King, PHD
• Lisa Kelly King, CRNA
• Megan King
• Michael Lawrence King, DMD
• Monica King
• Roshana King

• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.