SUSAN LESLEY KING LMFT
NPI 1508409715
Marriage & Family Therapist in Grand Rapids, MI
NPI Status: Active since October 21, 2019
Contact Information
1601 GALBRAITH AVE SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 953-0544
- Individual
- Female
- Marriage & Family Therapist
- Accepts Insurance
- Opted-Out Medicare
About SUSAN KING
This page provides the complete NPI Profile along with additional information for Susan King, a provider established in Grand Rapids, Michigan with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1508409715 assigned on October 2019. The practitioner's primary taxonomy code is 106H00000X with license number 4101006694 (MI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1508409715
- Provider Name
- SUSAN LESLEY KING LMFT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1601 GALBRAITH AVE SE GRAND RAPIDS, MI 49546
- Location Phone
- (616) 953-0544
- Mailing Address
- 1560 SEMINOLE RD SE GRAND RAPIDS, MI 49506
- Mailing Phone
- (949) 584-7554
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-21-2019
- Last Update Date
- 01-04-2021
- Code Navigator
A marriage and family therapist like Susan King help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Susan King opted out of Medicare effective on 12-21-2024 until 12-21-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4101006694
- License State
- MI
- Taxonomy Description
- A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 35001905A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-21-2024
Opt-Out End Date: 12-21-2026
Eligible to Order and Refer? No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 4 | 0 | 9 | 7 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 8 | 0 | 18 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 8 + 0 + 1 + 8 + 7 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1508409715 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508409715, enumerated in the NPI registry as an "individual" on October 21, 2019
The provider is located at 1601 Galbraith Ave Se Grand Rapids, Mi 49546 and the phone number is (616) 953-0544
The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X
The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on December 21, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 21, 2026.
This NPI record was last updated on October 21, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.