JANICE A KING LLC
NPI 1396518858
Counselor - Mental Health in Fort Wayne, IN
About Janice A King Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANICE A KING LLC (NPI 1396518858) is a healthcare organization registered as a mental health in Fort Wayne, Indiana and active in the NPI registry since November 2023. The organization lists Janice A King, Owner/operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Janice A King Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Janice A King LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Janice A King LLC's NPI number?
The NPI number for Janice A King LLC is 1396518858. It was assigned to this organization in the NPPES registry on November 6, 2023.
Where is Janice A King LLC located?
Janice A King LLC is located at 10315 Dawsons Creek Blvd Ste E, Fort Wayne, IN 46825. The listed phone number is (260) 387-6340.
What is Janice A King LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Janice A King LLC enrolled in Medicare?
Yes. Janice A King LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Janice A King LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Janice A King LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Janice A King LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Janice A King Llc · NPI 1396518858
Mental Health organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since November 6, 2023.
## Identity
- **NPI:** 1396518858 (Entity type: Organization)
- **Enumerated:** November 6, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Janice King, OWNER/OPERATOR
## Practice location
- **Address:** 10315 DAWSONS CREEK BLVD STE E, Fort Wayne, IN 46825-1912
- **Phone:** (260) 387-6340 · **Fax:** (260) 387-6984
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396518858) · Data from the CMS NPPES public registry.