Active NPI
Angela Renee King, LPC20597
- Professional Counselor
- Rapid City, SD
National Provider Identifier
1972118529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC20597
- Practice address
- 824 Columbus St Apt 403
Rapid City, SD 57701-3579 - Phone
- (605) 645-0007
- NPI assigned
- Sep 10, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC20597 | SD | Primary |
Addresses
Primary practice location
824 Columbus St Apt 403
Rapid City, SD 57701-3579
Mailing address
824 Columbus St Apt 403
Rapid City, SD 57701-3579
Phone (605) 645-0007
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 |
|---|---|---|---|
| LPC20597 | SD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1972118529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 COLUMBUS ST APT 403",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577013579",
"telephone_number": "605-645-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 COLUMBUS ST APT 403",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577013579",
"telephone_number": "605-645-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ANGELA",
"middle_name": "RENEE",
"credential": "LPC20597",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC20597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.