Kelly Kay Williams, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002676 Issued in MO

Practice address

3404 Shifferdecker
Joplin, MO 64802

Phone

(417) 237-7773

Fax

(417) 347-7772

NPI assigned

Dec 5, 2006

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

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306904008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5562 RIVERSIDE DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648046012",
            "telephone_number": "417-448-4148",
            "fax_number": "417-347-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 SHIFFERDECKER",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64802",
            "telephone_number": "417-237-7773",
            "fax_number": "417-347-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELLY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Heath Williams, DDS
• Cassandra Lee Williams, M.S., CF-SLP
• Jacklynn Williams
• John K Williams, MD
• Katherine M Williams, FNP-C
• Kristina Jill Williams, DNP, ACNP-BC
• Miles J Williams
• Zachary E Williams
• Nancy M Willis-Smith, FNP-C, WHNP-BC
• Donovan Scott Willis, CRNA

• Mental Health Counselor in Joplin, MO
• Providers in Joplin, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.