Active NPI
Kevin Arther Williams, PLMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1417168014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7689
- Practice address
- 3721 N 75TH St
Omaha, NE 68134-4411 - Phone
- (402) 201-6963
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7689 | NE | Primary |
Addresses
Primary practice location
3721 N 75TH St
Omaha, NE 68134-4411
Mailing address
3721 N 75TH St
Omaha, NE 68134-4411
Phone (402) 201-6963
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 |
|---|---|---|---|
| 7689 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Counseling PC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- kevin.williamslpclimhp.p1@direct.charlesdrew.nextgenshare.com
- kevin.williams.p1@direct.charlesdrew.nextgenshare.com
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1851668677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417168014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 N 75TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344411",
"telephone_number": "402-201-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 N 75TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344411",
"telephone_number": "402-201-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KEVIN",
"middle_name": "ARTHER",
"name_prefix": "Mr.",
"credential": "PLMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "7689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- 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.