Individual provider Active NPI

Kimberly Carter-Williams, LMHC

  • Mental Health Counselor
  • Hobe Sound, FL
National Provider Identifier
1801217252
Registry record updated Jan 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11913 Issued in FL
Practice address
8865 SE May Ter
Hobe Sound, FL 33455-7201
Phone
(407) 314-4226
NPI assigned
Jan 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11913 FL Primary

Addresses

Primary practice location

8865 SE May Ter
Hobe Sound, FL 33455-7201

Mailing address

8865 SE May Ter
Hobe Sound, FL 33455-7201
Phone (407) 314-4226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240418003329 FL Practitioner - Mental Health Counselor 1355780602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Change of Mind LLCGroup PAC ID 4284971672, 6 clinicians

Practice addresses (Care Compare)

314 NW Bethany Dr
Port St Lucie, FL 34986-3578
Phone (772) 284-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Change of Mind LLC Mental Health CurrentSince Feb 13, 2024 Accepting new patients

Locations

314 NW Bethany Dr
Port St Lucie, FL 34986
Phone (772) 284-6030

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": "1388534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388534400000",
    "number": "1801217252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 SE MAY TER",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334557201",
            "telephone_number": "407-314-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 SE MAY TER",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334557201",
            "telephone_number": "407-314-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-WILLIAMS",
        "first_name": "KIMBERLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-01",
        "last_updated": "2014-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

Verify at the official NPI Registry.