Individual provider Active NPI

Carey B Williams

  • Mental Health Counselor
  • Lyndon, KY
National Provider Identifier
1689145740
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
246509 Issued in KY
Practice address
1606 Blue Jay Dr Apt 3
Lyndon, KY 40222-3978
Phone
(502) 548-3877
NPI assigned
Dec 16, 2018
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 246509 KY Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1606 Blue Jay Dr Apt 3
Lyndon, KY 40222-3978

Mailing address

1606 Blue Jay Dr Apt 3
Lyndon, KY 40222-3978
Phone (502) 548-3877

Other practice location 1

1169 Eastern Pkwy Ste 3364
Louisville, KY 40217-1415
Phone (502) 813-8280

Other practice location 2

10500 Shadow Ridge Ln Apt 204
Louisville, KY 40241
Phone (502) 548-3877

Other practice location 3

10500 Shadow Ridge Ln Apt 204
Louisville, KY 40241
Phone (502) 548-3877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251112003094 KY Practitioner - Mental Health Counselor 8921599416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
246509KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Specialized Alternative for Families and Youth of Kentucky, Inc. Past Accepting new patients
Specialized Alternatives for Families and Youth of Kentucky-Louisville Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

Organizations & group practices 3

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1689145740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 BLUE JAY DR APT 3",
            "city": "LYNDON",
            "state": "KY",
            "postal_code": "402223978",
            "telephone_number": "502-548-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 BLUE JAY DR APT 3",
            "city": "LYNDON",
            "state": "KY",
            "postal_code": "402223978",
            "telephone_number": "502-548-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1169 Eastern Pkwy Ste 3364",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171415",
            "country_code": "US",
            "telephone_number": "502-813-8280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 Shadow Ridge Ln Apt 204",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40241",
            "country_code": "US",
            "telephone_number": "502-548-3877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 Shadow Ridge Ln Apt 204",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40241",
            "country_code": "US",
            "telephone_number": "502-548-3877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAREY",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "246509",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndon, KY

Sources for this page

Verify at the official NPI Registry.