Holly Ray Taylor-Williams, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

103008 Issued in KY

Practice address

1909 Ky 3439
Barbourville, KY 40906-7201

Phone

(606) 546-3805

Fax

(606) 546-3903

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pentecostal Children'S Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Barbourville, KY
  • NPI 1811430978
  NPD
• Bluegrass Behavioral Health Group, LLC

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1952840860

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1679791610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409060550",
            "telephone_number": "606-546-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 KY 3439",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067201",
            "telephone_number": "606-546-3805",
            "fax_number": "606-546-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Stony Brook Dr",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407017457",
            "country_code": "US",
            "telephone_number": "606-344-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR-WILLIAMS",
        "first_name": "HOLLY",
        "middle_name": "RAY",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-0982",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30613038",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Travis Smith, NP
• Charles V Stargel, MD
• Malissa Dawn Stephens
• Christin Haleigh Sutton
• Garry Joel Swanner II, PA-C
• Lorrie Taylor, APRN
• The Playhouse Therapy Center, LLC
• Genevieve Marie Tomlinson, LCADC
• Thomas R Tribell Jr., TCADC
• Candice Goh Troxell, D.O.

• Professional Counselor in Barbourville, KY
• Providers in Barbourville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.