Individual provider Active NPI

Malinda King, MA, LPC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1891178414
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01978 Issued in MN
Practice address
333 Grand Ave
Saint Paul, MN 55102-2582
Phone
(651) 294-2307
NPI assigned
Jul 1, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 01978 MN Primary

Addresses

Primary practice location

333 Grand Ave
Saint Paul, MN 55102-2582

Mailing address

972 Dayton Ave
Saint Paul, MN 55104-6544
Phone (651) 235-6980

Other practice location 1

190 S River Ridge Cir
Burnsville, MN 55337-1627
Phone (612) 568-6050

Other practice location 2

1061 Grand Ave
Saint Paul, MN 55105-3002
Phone (651) 212-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20250404002741 MN Practitioner - Mental Health Counselor 5799209367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conscious Healing Counseling IncGroup PAC ID 4688095268, 16 clinicians

Practice addresses (Care Compare)

15243 Nowthen Blvd NW
Ramsey, MN 55303-6138
Phone (612) 900-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01978MNMDMental Health Counselor
1857MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Healing Counseling Inc Mental Health CurrentSince Apr 2, 2025 Accepting new patients

Locations

2705 Bunker Lake Blvd NW
Ste 112
Andover, MN 55304
Phone (612) 900-0233

15243 Nowthen Blvd NW
Ramsey, MN 55303
Phone (612) 900-0233

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891178414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046544",
            "telephone_number": "651-235-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022582",
            "telephone_number": "651-294-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 S River Ridge Cir",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553371627",
            "country_code": "US",
            "telephone_number": "612-568-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053002",
            "country_code": "US",
            "telephone_number": "651-212-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "MALINDA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "01978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.