Katherine Williford

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A11558 Issued in NC

Practice address

2435 Lynn Rd Ste 200
Raleigh, NC 27612-6756

Phone

(919) 391-7871

NPI assigned

Dec 30, 2015

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1407211774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 LYNN RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126756",
            "telephone_number": "919-391-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 LYNN RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126756",
            "telephone_number": "919-391-7871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Wake Forest Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096879",
            "country_code": "US",
            "telephone_number": "919-865-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIFORD",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey McHenry Williamson
• Tiffany Williamson
• Ebony Ragine Williamston, LCSW-A
• Bryce Willian, DC
• Donna Katherine Spring Williford, LCMHCA
• Michael Lee Williford, MD
• Angela Mae Willis, NNP-BC
• Cynthia Laveda Willis, M.ED., CCC-SLP
• Danielle Leann Shelley Willis, PA-C
• Elizabeth Willis, DO

• All providers in Raleigh, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.