Individual provider Active NPI

Vivian Gail King, MS, LPC

  • Mental Health Counselor
  • Spencer, WV
National Provider Identifier
1912034349
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1069 Issued in WV
Practice address
318 Market Street
Spencer, WV 25276-6906
Phone
(304) 519-0503
Fax
(304) 927-5201
NPI assigned
Feb 27, 2007
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1069 WV Primary
Professional Counselor 101YP2500X 1069 WV

Addresses

Primary practice location

318 Market Street
Spencer, WV 25276-6906

Mailing address

318 Market Street
Spencer, WV 25276
Phone (304) 519-0503

Other names 1

  • Vivian Gail Gross Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1069WVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1912034349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MARKET STREET",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "25276",
            "telephone_number": "304-519-0503",
            "fax_number": "304-927-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MARKET STREET",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252766906",
            "telephone_number": "304-519-0503",
            "fax_number": "304-927-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "VIVIAN",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1069",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "GROSS",
            "middle_name": "GAIL",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spencer, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.