Connie J King, LMHC in Fort Pierce, FL - Medicare Counselor Provider

Connie J King, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Pierce, Florida. Her current practice location is 733 Worlington Ln, Fort Pierce, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 332-3580.

Connie J King is licensed to practice in Florida (license number MH17972) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508318049.

Contact Information

	Connie J King, LMHC
	733 Worlington Ln, Fort Pierce, FL 34947-1351
	(772) 332-3580
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Connie J King
Gender	Female
Speciality	Counselor - Mental Health
Location	733 Worlington Ln, Fort Pierce, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508318049
Provider Enumeration Date: 11/01/2016
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 2567824063
Enrollment ID: I20240410000560

Medical Identifiers

Medical identifiers for Connie J King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508318049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH17972 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Connie J King allows following entities to bill medicare on her behalf.

Entity Name	Change Of Mind Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811443195 PECOS PAC ID: 4284971672 Enrollment ID: O20190123001743

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connie J King is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Connie J King, LMHC 3130 Se 5th Street, Ocala, FL 34471-2804 Ph: (772) 332-3580	Connie J King, LMHC 733 Worlington Ln, Fort Pierce, FL 34947-1351 Ph: (772) 332-3580

Reviews and Comments

Counselor in Fort Pierce, FL

Jean-mary Monval, Counselor Medicare: Medicare Enrolled Practice Location: 2011 S 25th St Ste 108, Fort Pierce, FL 34947 Phone: 772-242-1079 Fax: 772-242-1296
Zakiah Abdur-rashid, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 516-782-7878
Caroline Pace, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Orange Ave # M-205, Fort Pierce, FL 34950 Phone: 772-207-1095
Ms. Chiquita Lynn Wells, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982 Phone: 904-625-2307
Ms. Andrea Kivinski Blumstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726
Sean Wesley Tattinger, RMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982 Phone: 772-489-4726 Fax: 772-466-5578
Stefanie Hallowell, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726 Fax: 772-489-0423

Connie J King, LMHC - Medicare Counselor in Fort Pierce, FL