Active NPI
Keyana Sharlene Williams, LPC
- Professional Counselor
- Fuquay Varina, NC
National Provider Identifier
1235504267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11019
- Practice address
- 602 E Academy St #205
Fuquay Varina, NC 27526 - Phone
- (919) 647-4600
- NPI assigned
- Dec 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11019 | NC | |
| Professional Counselor | 101YP2500X | 11019 | NC | Primary |
Addresses
Primary practice location
602 E Academy St #205
Fuquay Varina, NC 27526
Mailing address
602 E Academy St #205
Fuquay Varina, NC 27526
Phone (919) 647-4600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11019 | NC | MD | Professional Counselor |
| 11019 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1235504267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 E ACADEMY ST #205",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "27526",
"telephone_number": "919-647-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 E ACADEMY ST #205",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "27526",
"telephone_number": "919-647-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KEYANA",
"middle_name": "SHARLENE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11019",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.