Individual provider Active NPI

James Kenneth Williams, LPCC

  • Mental Health Counselor
  • Nicholasville, KY
National Provider Identifier
1457050981
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
283380 Issued in KY
Practice address
800 S Main St Ste C
Nicholasville, KY 40356-1868
Phone
(859) 241-3892
NPI assigned
Feb 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 302204 KY
Mental Health Counselor 101YM0800X 283380 KY Primary

Addresses

Primary practice location

800 S Main St Ste C
Nicholasville, KY 40356-1868

Mailing address

800 S Main St Ste C
Nicholasville, KY 40356-1868
Phone (859) 241-3892

Other identifiers 1

IdentifierTypeStateIssuer
001027921MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211003769 KY Practitioner - Mental Health Counselor 5991299323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 S Main St
Suite C
Nicholasville, KY 40356-1868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
283380KYMDMental Health Counselor
302204KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Ministries Inc CurrentSince Nov 24, 2025 Accepting new patients
Bluegrass Behavioral School for Children CurrentSince Jan 14, 2024 Accepting new patients
New Beginnings Chiropractic of Elizabethtown PLLC PastSince Nov 24, 2025 Accepting new patients

Locations

205 Champion Way
Ste 11
Georgetown, KY 40324
Phone (502) 603-0020

800 S Main St
Ste C
Nicholasville, KY 40356
Phone (859) 241-3892

111 Coconut Grove Dr
Nicholasville, KY 40356
Phone (859) 241-3892

101 Richmond Ave
Nicholasville, KY 40356
Phone (859) 241-3892

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1457050981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST STE C",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561868",
            "telephone_number": "859-241-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST STE C",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561868",
            "telephone_number": "859-241-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMES",
        "middle_name": "KENNETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "302204",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "283380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001027921",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.