KELSEY PHYLICIA KING T-CADC, BA
NPI 1578093860
Counselor - Addiction (Substance Use Disorder) in Waterloo, IA

Q: What is Kelsey King's NPI number?

The NPI number for Kelsey King is 1578093860. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Q: What is Kelsey King's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey King was last updated on September 28, 2022. 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.

Active since June 19, 2017

623 KINGSLEY AVE, WATERLOO, IA 50701(193) 429-8989 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2022, Jun 19, 2017 (2 updates tracked since 2017).

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About Kelsey Phylicia King T-cadc, Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY PHYLICIA KING T-CADC, BA (NPI 1578093860) is an individual addiction (substance use disorder) provider in Waterloo, Iowa, licensed in Iowa (T17072) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1578093860

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKELSEY PHYLICIA KINGCredential: T-CADC, BA

Location Address623 KINGSLEY AVEWaterloo, IA 50701-2957

Mailing Address1609 Lilac LnCedar Falls, IA 50613-5313 · (319) 429-8989

Phone(193) 429-8989

Sole ProprietorYes

Enumeration DateJune 19, 2017

Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2022

✔ NPI 1578093860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IA · T17072

623 KINGSLEY AVE, Waterloo, IA 50701

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Other Identifiers 1

MedicaidT17072IA

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 Kelsey King's NPI number?

The NPI number for Kelsey King is 1578093860. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Kelsey King located?

Kelsey King practices at 623 Kingsley Ave, Waterloo, IA 50701. The listed phone number is (193) 429-8989.

What is Kelsey King's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelsey King was last updated on September 28, 2022. 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.