NPIMap

Organization Active NPI

Earnestine Lamonica Williams

  • Mental Health Counselor
  • Wichita, KS
National Provider Identifier
1104104504
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3804 Issued in KS
Legal business name
EARNESTINE LAMONICA WILLIAMS
Practice address
520 S Holland St
Suite 401
Wichita, KS 67209-2096
Phone
(316) 729-9965
Fax
(316) 854-0950
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Earnestine Lamonica Williams, LSCSW
Title
Sole Properitor
Phone
(316) 300-7515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 3804 KS Primary

Addresses

Primary practice location

520 S Holland St
Suite 401
Wichita, KS 67209-2096

Mailing address

520 S Holland St
Suite 401
Wichita, KS 67209-2096
Phone (316) 729-9965

National Provider Directory

National Provider Directory

Locations

520 S Holland Ln
Ste 401
Wichita, KS 67209
Phone (316) 729-9965

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1104104504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "SUITE 401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-729-9965",
            "fax_number": "316-854-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "SUITE 401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-729-9965",
            "fax_number": "316-854-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARNESTINE LAMONICA WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EARNESTINE",
        "authorized_official_middle_name": "LAMONICA",
        "authorized_official_title_or_position": "SOLE PROPERITOR",
        "authorized_official_telephone_number": "316-300-7515",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.