Kris F Williams-Falcon, PHD, CPASTC, MSW,SAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

207 Wind Swept St
Raeford, NC 28376-9279

Phone

(912) 988-1908

Fax

(877) 519-9597

NPI assigned

Feb 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 10

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Restoration of Focus: Holistic & Naturopathic Body Sculpting-Fat Loss

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raeford, NC
  • NPI 1043778855
  NPD
• Restoration of Focus: Mind, Body, and Mental Health Care

  • Substance Abuse Rehabilitation Facility
  • Savannah, GA
  • NPI 1982325734
  NPD (past)

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1770907248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 HANCOCK STREET",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489279",
            "telephone_number": "912-988-1908",
            "fax_number": "877-519-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WIND SWEPT ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283769279",
            "telephone_number": "912-988-1908",
            "fax_number": "877-519-9597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Southpark Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314073904",
            "country_code": "US",
            "telephone_number": "912-988-1908",
            "fax_number": "912-226-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21147 West Highway 80",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224281",
            "country_code": "US",
            "telephone_number": "912-988-1908",
            "fax_number": "912-226-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Southpark Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314073904",
            "country_code": "US",
            "telephone_number": "912-988-1908",
            "fax_number": "877-519-9597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-FALCON",
        "first_name": "KRIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD, CPASTC, MSW,SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "02155627 DUAL",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "02155627",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "960065254",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "80056542",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "02155627",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "02155627 DUAL",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21418975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12709963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Raeford, NC
• Providers in Raeford, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.