Individual provider Active NPI

Kiara Ianna Williams, LMHC

  • Mental Health Counselor
  • Rego Park, NY
National Provider Identifier
1598227548
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014468 Issued in NY
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

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003244 NY Practitioner - Mental Health Counselor 6709224595 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014468NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling LCSW, PLLC Mental Health CurrentSince Mar 18, 2024 Accepting new patients
Che Senior Psychological Services, PC CurrentSince Oct 1, 2024 Accepting new patients
Knapp Street Psychiatry, PC CurrentSince Oct 1, 2024 Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince Aug 1, 2019 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Aug 1, 2019 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.

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

Sources for this page

Verify at the official NPI Registry.