Active NPI
Kerry Lynn Williams, LAC
- Counselor
- North Little Rock, AR
National Provider Identifier
1144461120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A0911121
- Practice address
- 3601 Richards Road
North Little Rock, AR 72117 - Phone
- (501) 221-1843
- Fax
- (501) 221-2376
- NPI assigned
- Mar 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A0911121 | AR | Primary |
Addresses
Primary practice location
3601 Richards Road
North Little Rock, AR 72117
Mailing address
PO Box 15968
Little Rock, AR 72231-5968
Phone (501) 221-1843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0911121 | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1144461120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15968",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722315968",
"telephone_number": "501-221-1843",
"fax_number": "501-221-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 RICHARDS ROAD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "72117",
"telephone_number": "501-221-1843",
"fax_number": "501-221-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KERRY",
"middle_name": "LYNN",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "A0911121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.