Matthew King, MAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

12166 Old Big Bend Rd Ste 204
Kirkwood, MO 63122-6836

Phone

(314) 822-8888

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carepoint Christian Counseling, LLC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1023394319
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1871152140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD STE 204",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226836",
            "telephone_number": "314-822-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD STE 204",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226836",
            "telephone_number": "314-822-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MATTHEW",
        "credential": "MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Kennedy, D.C.
• Laura Kern, MA, LPC
• Linda Kessler, MSW ACSW LCSW
• Kevin P King, M.D.
• Mark D. King, M.D.
• Kirkwood Dental Care Ronald K Greif DDS PC (Contemporary Dental Arts Lisa D. Haines DMD)
• Kirkwood Drug Co. (Medicine Shoppe)
• Kirkwood Eye Associates LLC
• Kirkwood Family Dental
• Kirkwood Family Eyecare LLC

• Professional Counselor in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.