Kimberly Sunshine Williams, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7053 Issued in NC

Practice address

618 N Morgan St
Shelby, NC 28150-4439

Phone

(704) 480-1882

Fax

(704) 480-1832

NPI assigned

Jul 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• MCCD FL Psychiatry Services PA

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457

  NC

  Medicare reassignment Care Compare group NPD
• Foothills Consulting Associates LLC

  • Psychiatry Physician
  • Shelby, NC
  • NPI 1770624637
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1740445535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504439",
            "telephone_number": "704-480-1882",
            "fax_number": "704-480-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504439",
            "telephone_number": "704-480-1882",
            "fax_number": "704-480-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "SUNSHINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103950",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriell Charlotte Williams-Harkey, CSAC 25183
• Ashley Jones Williams, FNP
• Bernesta Charntel Williams, MD
• Irving A Williams, M.D.
• Karen Janeen Williams, PSY D, LCMHC
• Titchina Williams, PMHNP
• Courtney Eller Wilson
• James Sperling Wilson, DDS
• Lori Wilson, RPH
• Roberta Borden Wilson, M.A., N.C.C., L.P.C-

• Professional Counselor in Shelby, NC
• Providers in Shelby, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.