Active NPI
Kaniecia Lashea Williams, M.S.
- Marriage & Family Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1508182304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94323
- Practice address
- 9500 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5871 - Phone
- (909) 980-6700
- NPI assigned
- Apr 19, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Mental Health Counselor | 101YM0800X | IMF 63143 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF 63143 | CA | |
| Marriage & Family Therapist | 106H00000X | 94323 | CA | Primary |
Addresses
Primary practice location
9500 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5871
Mailing address
5198 Arlington Ave # 106
Riverside, CA 92504-2603
Phone (951) 796-3621
Other names 1
- Kaniecia Lashea Mixon
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94323 | CA | MD | Marriage & Family Therapist |
| IMF 63143 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1508182304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5198 ARLINGTON AVE # 106",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042603",
"telephone_number": "951-796-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 HAVEN AVE STE 100",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305871",
"telephone_number": "909-980-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KANIECIA",
"middle_name": "LASHEA",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF 63143",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 63143",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KANIECIA",
"last_name": "MIXON",
"middle_name": "LASHEA",
"credential": "M.S., LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.