Katrina Williams, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1700267-SUPV Issued in OH

Practice address

5502 E Schaaf Rd.
Independence, OH 44131-4413

Phone

(440) 823-9996

NPI assigned

May 9, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Faithworks Trauma Counseling and Consulting, LLC

  • Mental Health Counselor
  • Independence, OH
  • NPI 1316531478
  NPD Authorized official

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1437771797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 BRECKSVILLE RD.",
            "address_2": "PO BOX 6509",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441313129",
            "telephone_number": "440-823-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 E SCHAAF RD.",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441314413",
            "telephone_number": "440-823-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATRINA",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-09",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161057",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700267-SUPV",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700267-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@faithworkstcc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure communication with provider",
            "address_1": "5502 E Schaaf Rd.",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441314413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly A Wieczorek, LPCC
• Marlene Willen, MD
• Grace Willer, PH.D.
• Daniel Williams, LPCC
• Deirdre Williams
• Madison Jade Taylor Williams
• Nilisha Williams, LPC
• Ruthie L Williams, LPN
• Valyndra Williams
• Tekisha Dirrelle Wimbush, LSW

• Mental Health Counselor in Independence, OH
• Providers in Independence, OH by specialty
• Mental Health Counselor in Ohio

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