Kimberly Nakessh Williams, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11849 Issued in FL

Practice address

6015 Chester Cir Ste 110
Jacksonville, FL 32217-2270

Phone

(904) 990-7884

NPI assigned

Mar 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1306145503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172270",
            "telephone_number": "904-990-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172270",
            "telephone_number": "904-990-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328056203",
            "country_code": "US",
            "telephone_number": "407-317-7430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 John Prom Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322463921",
            "country_code": "US",
            "telephone_number": "904-510-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "NAKESSH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli D. Williams, PA-C
• Kelly Ann Williams, MS CCC-A
• Keyanna Arnetia Williams, MS,
• Kimberlee Denys Williams
• Kimberly Williams, CNA
• Kyshia Renae Williams, MSW
• Ladonna Williams
• Lameka Williams
• Latarsha Nikon Williams
• Latoyal Taneka Williams

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.