Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clyde Shelly King, LPC

Individual provider Professional Counselor · NPI 1699480814

Clyde Shelly King, LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Mccd Fl Psychiatry Services PA, a 729-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2633 S Beulah St
Philadelphia, PA 19148-4514
Phone: (215) 501-2612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC014966 (PA)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1699480814
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice McCd Fl Psychiatry Services Pa — 729 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Mccd Fl Psychiatry Services PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 729 clinicians in the practice; 12 are shown here.

Other providers in Philadelphia