Cathy Jean King, PHD ,LPC,CDCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

510 Issued in AK

Practice address

23450 Glacier View Dr
Eagle River, AK 99577-9617

Phone

(907) 354-0439

NPI assigned

Sep 27, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Healing Rock Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eagle River, AK
  • NPI 1104654722
  NPD Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1871780452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23450 GLACIER VIEW DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779617",
            "telephone_number": "907-354-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23450 GLACIER VIEW DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779617",
            "telephone_number": "907-354-0439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11517 Old Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777325",
            "country_code": "US",
            "telephone_number": "907-354-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CATHY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PHD ,LPC,CDCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2022-04-12",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylen Kelley, LPC
• Amanda Linn Kempainen, DMD
• Chelsea Victoria Kercher
• Abigail Lynn Kessinger, PT, DPT
• Kimberly Kilkenny
• Kelby Kinney
• Whitney Ann Kinsey
• Jacklyn Kirk
• Ashley Klinger
• Erik P Kohler, MD

• Professional Counselor in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.