Nickkole Williams

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP13523 Issued in MD

Practice address

1014 W 36TH St
Baltimore, MD 21211-2415

Phone

(443) 720-0090

Fax

(855) 212-5690

NPI assigned

Mar 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Yudaguru LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1629589387
  NPD (past)

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1215630892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415",
            "telephone_number": "443-720-0090",
            "fax_number": "855-212-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415",
            "telephone_number": "443-720-0090",
            "fax_number": "855-212-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10176 Baltimore National Pike Ste 110",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423651",
            "country_code": "US",
            "telephone_number": "443-720-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICKKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP13523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakia S Williams
• Nakiyah Williams
• Natelie C. Williams, CRNP
• Nathan Andrew Williams, MD
• Naya Williams
• Nicole Williams
• Nicole Beth Williams
• Nyree Williams
• Pamela A Williams, LCSW-C
• Parrish Letric Williams Jr.

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.