Active NPI
Kiara Ianna Williams, LMHC
- Mental Health Counselor
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 014468
- Practice address
- 98120 Queens Blvd
Rego Park, NY 11374-4357 - Phone
- (728) 830-0246
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | 014468 | NY | Primary |
Addresses
Primary practice location
98120 Queens Blvd
Rego Park, NY 11374-4357
Mailing address
288 Clinton Ave Apt 3a
Brooklyn, NY 11205-3631
Phone (813) 766-5831
Other practice location 1
102 Pilling St
Brooklyn, NY 11207-1610
Phone (718) 602-1000
Other practice location 2
2369 2nd Ave
New York, NY 10035-3108
Phone (212) 876-2300 ext. 145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014468 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Mental Health | Current | Accepting new patients |
| Che Senior Psychological Services, PC | Current | Accepting new patients | |
| Knapp Street Psychiatry, PC | Current | Accepting new patients | |
| New York Psychotherapy and Counseling Center | Current | Accepting new patients | |
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients |
Locations
2 Main St
Ste 2A
Plymouth, MA 02360
3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256
102 Pilling St
Brooklyn, NY 11207
Phone (718) 602-1000
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384
98120 Queens Blvd
Ste 1C
Rego Park, NY 11374
Phone (718) 268-9598
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1598227548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 CLINTON AVE APT 3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112053631",
"telephone_number": "813-766-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98120 QUEENS BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744357",
"telephone_number": "728-830-0246"
}
],
"practiceLocations": [
{
"address_1": "102 Pilling St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112071610",
"country_code": "US",
"telephone_number": "718-602-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2369 2nd Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100353108",
"country_code": "US",
"telephone_number": "212-876-2300 x145",
"fax_number": "212-722-7618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KIARA",
"middle_name": "IANNA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "014468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
- Westminster Physical Therapy of New York PLLC
- Westmoreland Medical PC
- Annmarie Georgia Williams
- Beverly Williams, LMSW
- Dionne A Williams
- Tihira Janair Williams, SPECIAL ED.TEACHER
- Vanya Samantha Williams
- Wilson Morocho DDS PC (Creative Dental of Queens)
- Wilson Physical Medicine & Rehabilitation, P.C (Access Spine & Sport Care)
- Sharlene Antonette Wilson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.