MELISSA JEAN KING (PHD) – Counseling Psychologist, NPI 1871115337

MELISSA JEAN KING (PHD) is a healthcare provider. based in Manhattan, Kansas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6535 (MN). The NPI Number for MELISSA JEAN KING (PHD) is 1871115337

Main info

Female
12 Years Of Experience
Name
MELISSA JEAN KING (PHD)
NPI
1871115337
Phone
(525) 991-7280
Address
525 N MANHATTAN AVE APT 11
Enumeration Date
7 May 2020
Last Update Date
7 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187222005
Graduation Year
2014 (12 years ago)
PAC ID
8325465107
Group Practice PAC ID
5395835243
Professional Enrollment ID
I20200825000963
Address ID
MN558021922DU205XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for MELISSA JEAN KING (PHD)

  • 525 N MANHATTAN AVE APT 11

    MANHATTAN, KS 665025370

    Phone: (525) 991-7280

    Type: Mailing

  • 205 W 2ND ST STE 437

    DULUTH, MN 558021922

    Phone: (218) 722-2005

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200825000963IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395835243View full group profile
NameSpecialtyState
-MN
Clinical PsychologistMN
Clinical PsychologistMN
Clinical PsychologistMN

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Frequently asked questions

What number should I use to identify MELISSA JEAN KING (PHD) for billing?
Administrative and clinical systems typically use NPI 1871115337 for MELISSA JEAN KING (PHD).
Should I treat MELISSA JEAN KING (PHD) as an active provider?
Patients and plans typically see MELISSA JEAN KING (PHD) as active in the national extract.
How should patients interpret MELISSA JEAN KING (PHD)'s specialty?
The extract shows Counseling Psychologist for MELISSA JEAN KING (PHD). Clinical services aligned with this taxonomy classification.
Is MELISSA JEAN KING (PHD) tied to Manhattan, Kansas?
If you are local to Manhattan, Kansas, MELISSA JEAN KING (PHD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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