Katelyn J Williams, ALC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3451A Issued in AL

Practice address

540 Westgate Pkwy
Dothan, AL 36303-3073

Phone

(334) 721-2792

Fax

(334) 699-3734

NPI assigned

Jan 16, 2020

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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Shepherd'S New Pathways LLCGroup PAC ID 6901135557, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• The Shepherds New Pathways, LLC

  • Professional Counselor
  • Temple, TX
  • NPI 1356779706
  Medicare reassignment Care Compare group NPD
• The Shepherds New Pathways, LLC

  • Professional Counselor
  • Georgetown, TX
  • NPI 1841813003
  NPD

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1760012918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 WESTGATE PKWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033073",
            "telephone_number": "334-721-2792",
            "fax_number": "334-699-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 WESTGATE PKWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033073",
            "telephone_number": "334-721-2792",
            "fax_number": "334-699-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATELYN",
        "middle_name": "J",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C3451A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Fleming Williams, M.D.
• Carol M Williams, CRNP
• Danielle Winzeler Williams I, O.D.
• Gabrielle Williams
• Kaci Noel Williams
• Kelcey L Williams, MD
• Kennedy Williams
• Kennedy Williams
• Miranda Williams, A-GNP-C
• Nicole Williams

• Professional Counselor in Dothan, AL
• Providers in Dothan, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.