Individual provider Active NPI

Khalia Monique Williams-O'Neal

  • Peer Specialist
  • Federal Way, WA
National Provider Identifier
1790403368
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
500 S 336TH St Ste 102
Federal Way, WA 98003-6389
Phone
(206) 371-9689
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Peer Specialist 175T00000X Primary
Case Manager/Care Coordinator 171M00000X WA

Addresses

Primary practice location

500 S 336TH St Ste 102
Federal Way, WA 98003-6389

Mailing address

500 S 336TH St Ste 102
Federal Way, WA 98003-6389
Phone (253) 259-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Credible Messengers LLC Case Manager/Care Coordinator CurrentSince Aug 28, 2022 Accepting new patients
NPI 1376387589 CurrentSince Jan 19, 2025 Accepting new patients

Locations

500 S 336th St
Ste 102
Federal Way, WA 98003
Phone (206) 261-2410

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1790403368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 336TH ST STE 102",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036389",
            "telephone_number": "253-259-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 336TH ST STE 102",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036389",
            "telephone_number": "206-371-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-O'NEAL",
        "first_name": "KHALIA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.