Kimberly Elliff Williams, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004953 Issued in VA

Practice address

14410 Sommerville CT
Ste 101
Midlothian, VA 23113-6813

Phone

(804) 897-9355

NPI assigned

Jan 19, 2011

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midlothian Behavioral Health Associates, LLC

  • Adult Mental Health Clinic/Center
  • Midlothian, VA
  • NPI 1922326909
  NPD (past)
• Shine Medical of Ca PC

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1942935473
  NPD (past)
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1649575887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 STONEY RIDGE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124532",
            "telephone_number": "804-545-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 SOMMERVILLE CT",
            "address_2": "STE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136813",
            "telephone_number": "804-897-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "ELLIFF",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004953",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Williams
• Duran Ernest Williams, PHARMD
• Ebone- Tiyasia Maria Williams, MSW, LMHP-S
• Flora Williams, MD
• Jeffrey Sage Williams, DDS
• Marvin Thomas Williams, MD
• Nadia Williams
• Olivia Williams
• Shelia E Williams, LPC, CSAC, LSATP
• Yvette Williams

• Professional Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.