Kelvin Lamar Williams

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

36365 Issued in NY

Practice address

41 Page Park Dr
Poughkeepsie, NY 12603-7500

Phone

(845) 486-2850

Fax

(845) 486-2770

NPI assigned

Jul 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Lexington Center for Recovery, Inc.

  • Methadone Clinic
  • Poughkeepsie, NY
  • NPI 1154691368
  NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1356021497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PAGE PARK DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037500",
            "telephone_number": "845-486-2850",
            "fax_number": "845-486-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PAGE PARK DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037500",
            "telephone_number": "845-486-2850",
            "fax_number": "845-486-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELVIN",
        "middle_name": "LAMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "36365",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "36365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Williams
• Danielle Williams, M.D.
• Elizabeth Williams, D.O.
• Keeva Williams
• Keishon Denae Williams, LPN
• Kimberley Dawn Williams
• Lionel Williams Jr., MD
• Marcel Williams, MD
• Mary E Williams, LPN
• Mary Jane Bell Williams, LPN

• Addiction (Substance Use Disorder) Counselor in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.