KELLY DENISE KING (NPI# 1598123366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598123366 |
| Entity Type | Individual |
| Full Name | KELLY DENISE KING |
| Credential | M.S. L.P.C. |
| Practice Address |
3200 Southern Dr Ste 100 Garland TX 75043-1549 |
| Mailing Address |
721 Torrey Pines Ln Garland TX 75044-4113 |
| Practice Telephone | 9722714300 |
| Mailing Telephone | 2146798346 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 70038 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992362305 | Kelly Knepper King | Physician Assistant | 1490 Williamsboro St, Oxford, NC 27565-3498 | 2019-05-21 |
| 1023302718 | Kelly King | Physical Therapy Assistant | 2116 Sweet Gum Dr, Jonesboro, AR 72401-3603 | 2011-05-31 |
| 1801122403 | Kelly B King | Physical Therapist | 406 Cook Ct, Hopkinsville, KY 42240-8714 | 2009-11-02 |
| 1235327883 | Kelly Marie King | Physician Assistant | 13013 Sw Caddy Pl, Tigard, OR 97223-2892 | 2007-10-09 |
| 1558469106 | Kelly King | Internal Medicine | 751 Horizon Ct, Suite 202, Grand Junction, CO 81506-8733 | 2006-09-20 |
| 1699709204 | Kelly L King | Physical Therapist | 309 Highway 641 N, Camden, TN 38320-3011 | 2006-07-10 |
| 1114998606 | Kelly Ennix King | Internal Medicine | 6901 Simmons Loop, 4th Floor, Riverview, FL 33578-9498 | 2006-02-01 |
| 1659355410 | Kelly Ann King | Internal Medicine | 1835 Oddie Blvd, Sparks, NV 89431-3559 | 2005-12-05 |
| 1063049062 | Kelly King | Student in an Organized Health Care Education/Training Program | 272 Congress St, Portland, ME 04101-3637 | 2020-03-27 |
| 1811527823 | Kelly King | Behavioral Analyst | 1000 Plantation Rd Ste D, Thibodaux, LA 70301-4264 | 2020-01-17 |
| Street Address |
3200 SOUTHERN DR STE 100 |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770858094 | Ashley Mansfield | Social Worker | 3200 Southern Dr Ste 100, Garland, TX 75043-1549 | 2012-03-20 |
| 1841659679 | Michael Louis Ayoob | Counselor | 3200 Southern Dr Ste 100, Garland, TX 75043-1549 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982395 | Shayna Hill | Counselor | 1021 Intervale Dr, Garland, TX 75043-5034 | 2020-08-15 |
| 1821646613 | Cathy Rose Leatherwood | Counselor | 1111 Belt Line Rd Ste 215, Garland, TX 75040-3201 | 2019-08-27 |
| 1366009896 | Erica Almendarez Kepple | Counselor | 3009 N Spring Ct, Garland, TX 75044-2047 | 2019-05-21 |
| 1225535644 | Room for Change | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2018-04-11 |
| 1194171611 | Debra Dirden | Counselor | 2105 Peakwood Dr, Garland, TX 75044-7350 | 2016-05-13 |
| 1750770418 | Sherry Annette Hartford | Counselor | 2139 Mcintosh Dr, Garland, TX 75040-1106 | 2015-01-20 |
| 1366854200 | Rhonda Foreman | Counselor | 1520 W Kingsley Rd # 201, Garland, TX 75041-4273 | 2014-05-27 |
| 1386064731 | Amanda Esquivel | Counselor | 2925 Lake Valley Dr, Garland, TX 75040 | 2014-04-24 |
| 1073896940 | Gregory Jermaine Trent | Counselor | 2321 W Apollo Rd Apt 1423, Garland, TX 75044-6312 | 2011-09-27 |
| 1063793172 | Selam Daniel Kendie | Counselor | 3901 Pickett Pl, Garland, TX 75044-6456 | 2011-09-01 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.