MR. JERRY R KING (NPI# 1538101845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538101845 |
| Entity Type | Individual |
| Full Name | MR. JERRY R KING |
| Credential | LPC |
| Practice Address |
12 Medical Dr Amarillo TX 79106-4136 |
| Practice Telephone | 8063560404 |
| Practice Fax Number | 8063560590 |
| Mailing Telephone | 8063560404 |
| Mailing Fax Number | 8063560590 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
16628 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA HEALTH PLANS | 7810204 | 01 |
| TX | BLUE CROSS BLUE SHIELD TX | 5076LC | 01 |
| TX | MHN SERVICES | 243672 | 01 |
| TX | CIGNA BEHAVIORAL HEALTH | 2070156 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255506671 | Jerry N King | Surgery | 12731 S 83rd Ct, Palos Park, IL 60464-2026 | 2008-04-27 |
| 1346205689 | Jerry D King | Optometrist | 115 N Oak St, Eldon, MO 65026-1444 | 2006-04-19 |
| 1154465482 | Jerry Everett King | Radiology | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-02-19 |
| 1417020462 | Jerry Lee King | Optometrist | 103 W Loop 281, Ste 450, Longview, TX 75605-4653 | 2006-11-16 |
| 1790754463 | Jerry J King | Physician Assistant | 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 | 2006-03-15 |
| 1669476396 | Jerry N King | Radiology | 4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888 | 2005-06-10 |
| Street Address |
12 MEDICAL DR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760951511 | Ali Shimilimana | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2018-11-21 |
| 1245706027 | Maria Teresa Murillo | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2018-10-18 |
| 1295271138 | Lukas Day | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2017-01-17 |
| 1285922484 | Christin N Hall | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2011-07-21 |
| 1558419895 | Nina Stein | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2007-01-05 |
| 1437267002 | Jo Marie Wells-brown | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2006-08-25 |
| 1679686448 | Dianna Lynn Price | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2006-08-16 |
| 1811900699 | Frank Reyes | Social Worker | 12 Medical Dr, Amarillo, TX 79106-4136 | 2006-08-14 |
| 1629087044 | Linda Kay Allen | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2006-08-05 |
| 1265476956 | Gwen Murphy | Counselor | 12 Medical Dr, Amarillo, TX 79106-4136 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508286 | Mark Harris | Counselor | 6120 Rutgers St, Amarillo, TX 79109-6615 | 2020-08-11 |
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1194382671 | Chiffon Melissa Samuel | Counselor | 705 S Grant St Unit 14, Amarillo, TX 79101-2514 | 2019-05-21 |
| 1134691017 | Linda Darlene Podzemny | Counselor | 5250 Cliffside Road, Amarillo, TX 79124 | 2018-12-17 |
| 1720491913 | Kimberley Sterling | Counselor | 1616 S Kentucky St Ste C220, Amarillo, TX 79102-2290 | 2014-06-05 |
| 1134554462 | Amanda L. Durst | Counselor | 7470 Golden Pond Pl, Suite 300, Amarillo, TX 79121-1997 | 2013-09-05 |
| 1093060998 | Kristy Paddack Counseling Pllc | Counselor | 4300 Teckla Blvd, Suite 3b, Amarillo, TX 79109-5494 | 2012-07-17 |
| 1689975294 | Jeffery Alan Kee | Counselor | 3306 Bedford Rd, Amarillo, TX 79106-2906 | 2010-11-12 |
| 1750531117 | Clara Valdez | Counselor | 6010 W. Amarillo Blvd., Amarillo, TX 79106 | 2008-09-23 |
| 1902070360 | William Charles Santer IIi | Counselor | 3414 Olsen Blvd, Suite E, Amarillo, TX 79109-3072 | 2008-04-16 |
| Find all providers in AMARILLO | ||||
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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.