Active NPI
Kristen Williams, LPC
- Professional Counselor
- Cartersville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2203003
- Practice address
- 142 Evergreen TRL
Cartersville, GA 30121-4201 - Phone
- (770) 655-1406
- NPI assigned
- Jul 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | E.2203003 | OH | Primary |
Addresses
Primary practice location
142 Evergreen TRL
Cartersville, GA 30121-4201
Mailing address
25000 Euclid Ave Ste 305
Euclid, OH 44117-2646
Phone (216) 232-6468
Other practice location 1
1293 Copley Rd
Akron, OH 44320-2766
Phone (330) 374-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122003689 | OH | Practitioner - Mental Health Counselor | 5092167403 | Reassigns benefits to 2 organizations |
| I20240314003573 | TX | Practitioner - Mental Health Counselor | 5092167403 | Reassigns benefits to 2 organizations |
| I20251027004436 | GA | Practitioner - Mental Health Counselor | 5092167403 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Life Bridge Therapy Services LLC | Current | Accepting new patients | |
| Washington Wellness Institute, LLC | Professional | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
5010 Mayfield Rd
Ste 210
Lyndhurst, OH 44124
Phone (216) 505-4774
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
OH, Professional, TX
-
- Mental Health Counselor
- Cleveland, OH
- NPI 1871155176
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1043798481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25000 EUCLID AVE STE 305",
"city": "EUCLID",
"state": "OH",
"postal_code": "441172646",
"telephone_number": "216-232-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 EVERGREEN TRL",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301214201",
"telephone_number": "770-655-1406"
}
],
"practiceLocations": [
{
"address_1": "1293 Copley Rd",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443202766",
"country_code": "US",
"telephone_number": "330-374-1199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KRISTEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-29",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2203003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.