Iketia Williams-Patton, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2012013272 Issued in MO

Practice address

4411 N Newstead Ave
Saint Louis, MO 63115-2534

Phone

(314) 531-1770

NPI assigned

Mar 5, 2007

Last updated

Jul 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1538298724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 RIDGETOP CIR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633044514",
            "telephone_number": "678-763-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 N NEWSTEAD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152534",
            "telephone_number": "314-531-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-PATTON",
        "first_name": "IKETIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC005058",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2012013272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams Clinic, LTD
• Williams Consumers Directive Services LLC
• Williams Consumers Directive, LLC
• Emily A Williams Hartman, M.A., L.P.C.
• Williams Pharmacy Inc
• Shakidrea Williams-Scott
• Aaron Williams
• Abigail Williams, OTR/L
• Ada Williams, LPC
• Alexis Williams, HAIR LOSS SPECILAIST

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.