Active NPI
Kristin Oberholzer Williams, MA, ALC, NCC
- Counselor
- Hoover, AL
National Provider Identifier
1477254571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ALC04408
- Practice address
- 200 Chase Park S Ste 226
Hoover, AL 35244-1884 - Phone
- (205) 774-1935
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | ALC04408 | AL | Primary |
Addresses
Primary practice location
200 Chase Park S Ste 226
Hoover, AL 35244-1884
Mailing address
2416 1St Ave N Apt 22
Birmingham, AL 35203-4336
Phone (256) 206-2909
Other practice location 1
4124 Watermelon Rd Ste B
Northport, AL 35473-5252
Phone (205) 454-1897
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALC04408 | AL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Psychiatry, P.C. | Past | Accepting new patients |
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.
-
- Child & Adolescent Psychiatry Physician
- Farmington, UT
- NPI 1548914344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1477254571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 1ST AVE N APT 22",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352034336",
"telephone_number": "256-206-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CHASE PARK S STE 226",
"city": "HOOVER",
"state": "AL",
"postal_code": "352441884",
"telephone_number": "205-774-1935"
}
],
"practiceLocations": [
{
"address_1": "4124 Watermelon Rd Ste B",
"address_purpose": "LOCATION",
"city": "Northport",
"state": "AL",
"postal_code": "354735252",
"country_code": "US",
"telephone_number": "205-454-1897",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KRISTIN",
"middle_name": "OBERHOLZER",
"credential": "MA, ALC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "ALC04408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.