Ebonie Williams, MA, LPCC
Individual provider Active NPI Counselor · Franklin, KY
NPI 1184924979 · NPPES record last updated Mar 19, 2025
Key facts
- NPI
- 1184924979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 0995 (KY)
- Practice address
- 215 Bluegrass Rd
C
Franklin, KY 42134-2459 - Phone
- (270) 253-3722
- Fax
- (270) 253-3768
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- KW Consulting LLC
Practice addresses (Care Compare)
5966 Scottsville Rd
Suite 3
Bowling Green, KY 42104-7908
Phone (270) 904-5104
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250220001141 | KY | Practitioner - Mental Health Counselor | 9537689591 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0995 | KY | MD | Counselor |
| 1436 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KW Consulting, LLC | Counselor | Current |
Accepting new patients |
| Ebonie M Williams | Current |
Accepting new patients | |
| Familycare Counseling Center | Past |
Accepting new patients |
Locations
5966 Scottsville Rd
Ste 3
Bowling Green, KY 42104
Phone (270) 791-8189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0995 | KY | Yes |
Addresses
Primary practice location
215 Bluegrass Rd
C
Franklin, KY 42134-2459
Mailing address
PO Box 50220
Bowling Green, KY 42102-2820
Phone (270) 996-8945
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30604011 | Medicaid | KY |
Other providers in Franklin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.