Active NPI
Karen Janeen Williams, PSY D, LCMHC
- Professional Counselor
- Shelby, NC
National Provider Identifier
1679673800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5057
- Practice address
- 411 Cherryville Rd
Shelby, NC 28150-3651 - Phone
- (704) 669-3678
- NPI assigned
- Sep 25, 2006
- Last updated
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5057 | NC | Primary |
Addresses
Primary practice location
411 Cherryville Rd
Shelby, NC 28150-3651
Mailing address
253 Franklin CT
Stanley, NC 28164-9609
Phone (704) 915-2777
Other practice location 1
253 Franklin Ct
Stanley, NC 28164-9609
Phone (704) 915-2777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5057 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland County Family Young Men's Christian Association, Inc. | Current | Accepting new patients | |
| Comprehensive Counseling, Coaching & Consulting, PLLC | Past | Accepting new patients |
Locations
411 Cherryville Rd
Shelby, NC 28150
Phone (704) 482-1191
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Stanley, NC
- NPI 1053797514
-
- Health Educator
- Shelby, NC
- NPI 1780131508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1679673800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 FRANKLIN CT",
"city": "STANLEY",
"state": "NC",
"postal_code": "281649609",
"telephone_number": "704-915-2777",
"fax_number": "980-938-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 CHERRYVILLE RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503651",
"telephone_number": "704-669-3678"
}
],
"practiceLocations": [
{
"address_1": "253 Franklin Ct",
"address_purpose": "LOCATION",
"city": "Stanley",
"state": "NC",
"postal_code": "281649609",
"country_code": "US",
"telephone_number": "704-915-2777",
"fax_number": "980-938-8533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KAREN",
"middle_name": "JANEEN",
"credential": "PSY D, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.