Active NPI
Kendra Upson Williams, CACP
- Addiction (Substance Use Disorder) Counselor
- Aiken, SC
National Provider Identifier
1295161909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CACP
- Practice address
- 1105 Gregg Hwy
Aiken, SC 29801-6341 - Phone
- (803) 649-1900
- Fax
- (803) 643-2926
- NPI assigned
- Sep 26, 2013
- Last updated
- Sep 26, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CACP | SC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CACP | SC | Primary |
Addresses
Primary practice location
1105 Gregg Hwy
Aiken, SC 29801-6341
Mailing address
1105 Gregg Hwy
Aiken, SC 29801-6341
Phone (803) 649-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD01AK | Medicaid | SC | |
| 570569761 | Other | SC | TAX ID |
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 |
|---|---|---|---|
| CACP | SC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1295161909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 GREGG HWY",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016341",
"telephone_number": "803-649-1900",
"fax_number": "803-643-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 GREGG HWY",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016341",
"telephone_number": "803-649-1900",
"fax_number": "803-643-2926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPSON WILLIAMS",
"first_name": "KENDRA",
"credential": "CACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "CACP",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "CACP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AD01AK",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "570569761",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
- Universal Radiology Partners of South Carolina
- University Medical Associates of Aiken PA
- University of South Carolina Aiken
- University of South Carolina Aiken (USCA Sports Medicine)
- University Primary Care Aiken, LLC (UMG Primary Care Aiken)
- David Edward Urbanawiz, DMD
- Usrc North Aiken, LLC (US Renal Care North Aiken Dialysis)
- Usrc South Aiken LLC (US Renal Care South Aiken Dialysis)
- Elizabeth Brooke Usry, DMD
- Janet L Utz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.