Kimberly Williams-Jackson, MHP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5630 Crowder Blvd Ste 208
New Orleans, LA 70127-2444

Phone

(504) 241-6003

NPI assigned

Mar 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1104242056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18583 HIGHWAY 15",
            "city": "POINTE A LA HACHE",
            "state": "LA",
            "postal_code": "700820157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 CROWDER BLVD STE 208",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272444",
            "telephone_number": "504-241-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 Charles Drive",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "70043",
            "country_code": "US",
            "telephone_number": "504-251-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-JACKSON",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Williams & Martin Counseling, LLC
• Roxanne Williams Alexander
• Williams Sitting Service
• Leana Williams-Dent
• Natalie Williams-Gomez
• Benitra Williams-Johnson
• Erica E Williams-Parks
• Adele Williams, MD
• Alfred E Williams, PMHNP FNP-C
• Allie Marler Williams, MD

• Case Manager/Care Coordinator in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.