CLYDE SHELLY KING LPC
NPI 1699480814
Counselor - Professional in Philadelphia, PA
About Clyde Shelly King Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLYDE SHELLY KING LPC (NPI 1699480814) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC014966) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clyde Shelly King Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 Clyde King's NPI number?
The NPI number for Clyde King is 1699480814. It was assigned to this individual provider in the NPPES registry on January 23, 2023.
Where is Clyde King located?
Clyde King practices at 2633 S Beulah St, Philadelphia, PA 19148. The listed phone number is (215) 501-2612.
What is Clyde King's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Clyde King enrolled in Medicare?
Yes. Clyde King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Clyde King accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Clyde King as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Clyde King was last updated on January 23, 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.
# Clyde Shelly King, LPC · NPI 1699480814
Professional provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 23, 2023.
## Identity
- **NPI:** 1699480814 (Entity type: Individual)
- **Enumerated:** January 23, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC014966 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2633 S BEULAH ST, Philadelphia, PA 19148-4514
- **Phone:** (215) 501-2612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699480814) · Data from the CMS NPPES public registry.