Individual provider Active NPI

Kathi Jo Williams, LCMFT

  • Clinical Social Worker
  • Lenexa, KS
National Provider Identifier
1609318633
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2935 Issued in KS
Practice address
23401 Prairie Star Pkwy Ste B220
Lenexa, KS 66227-7268
Phone
(913) 538-9999
Fax
(913) 538-9997
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2935 KS Primary

Addresses

Primary practice location

23401 Prairie Star Pkwy Ste B220
Lenexa, KS 66227-7268

Mailing address

23401 Prairie Star Pkwy Ste B220
Lenexa, KS 66227-7268
Phone (913) 538-9999

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

State licenses

LicenseStateTypeSpecialty
2935KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1609318633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23401 PRAIRIE STAR PKWY STE B220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277268",
            "telephone_number": "913-538-9999",
            "fax_number": "913-538-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23401 PRAIRIE STAR PKWY STE B220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277268",
            "telephone_number": "913-538-9999",
            "fax_number": "913-538-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.