Active NPI
Adelaide M King, MS, NCC, LAC
- Professional Counselor
- Brick, NJ
National Provider Identifier
1922453034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37AC00189900
- Practice address
- 113 Lindbergh Dr
Brick, NJ 08724-1861 - Phone
- (732) 330-0771
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37AC00189900 | NJ | Primary |
Addresses
Primary practice location
113 Lindbergh Dr
Brick, NJ 08724-1861
Mailing address
113 Lindbergh Dr
Brick, NJ 08724-1861
Phone (732) 330-0771
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00189900 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1922453034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 LINDBERGH DR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087241861",
"telephone_number": "732-330-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 LINDBERGH DR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087241861",
"telephone_number": "732-330-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ADELAIDE",
"middle_name": "M",
"credential": "MS, NCC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37AC00189900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.