Kelsey Marie Williams, COUNSELOR ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R6976 Issued in OR

Practice address

4784 N Lombard St.
Suite B PMB 1064
Portland, OR 97203-4565

Phone

(971) 704-9269

NPI assigned

Jan 6, 2021

Last updated

May 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crow City Counseling LLC

  dba Crow City Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iowa City, IA
  • NPI 1134719966
  NPD (past)

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1861080731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4784 N LOMBARD ST STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034565",
            "telephone_number": "971-704-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4784 N LOMBARD ST.",
            "address_2": "SUITE B PMB 1064",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034565",
            "telephone_number": "971-704-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "COUNSELOR ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R6976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS",
            "identifier": "R10523",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Dalton Williams II, NCAC I, CADC I
• Josephine M Williams, MD
• Kalaiselvi Balasubramanian Williams, MD, MPH
• Kate Williams
• Kathryn Williams, LPC
• Kenya Brianna Williams
• Kevin Williams
• Keyonia Williams
• Kip Williams, PH.D., LMFT
• Kiyoko Williams, OTD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.