Active NPI
Kelly Williams
- Professional Counselor
- Lansdale, PA
National Provider Identifier
1841930450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC014359
- Practice address
- 2100 N Line St Apt K201
Lansdale, PA 19446-1079 - Phone
- (267) 337-1075
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC014359 | PA | |
| Professional Counselor | 101YP2500X | PC014359 | PA | Primary |
Addresses
Primary practice location
2100 N Line St Apt K201
Lansdale, PA 19446-1079
Mailing address
2100 N Line St Apt K201
Lansdale, PA 19446-1079
Phone (267) 337-1075
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014359 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1841930450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N LINE ST APT K201",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461079",
"telephone_number": "267-337-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N LINE ST APT K201",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461079",
"telephone_number": "267-337-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC014359",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC014359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.