Active NPI
Kierra King
- Mental Health Counselor
- Matthews, NC
National Provider Identifier
1902788748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21791
- Practice address
- 519 W John St
Matthews, NC 28105-5352 - Phone
- (704) 286-6227
- NPI assigned
- Jul 23, 2025
- Last updated
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A21791 | NC | Primary |
Addresses
Primary practice location
519 W John St
Matthews, NC 28105-5352
Mailing address
1711 Commonwealth Ave Apt 343
Charlotte, NC 28205-0054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21791 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1902788748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 COMMONWEALTH AVE APT 343",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282050054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 W JOHN ST",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055352",
"telephone_number": "704-286-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.